FIDELIS CARECost-saving benefits, personalized careMedicare AdvantagePlans for 2018Fidelis MedicareMedicareAdaneage FlexFidelia MedicareMonthly Part B Premium$134Flex BenefitPart 8 DeductiblePCP Copay$183$5Specialist CopayOutpatint Surpery in a Hospital orAmbulatory Surgical Center$10seaday for days 14,S360 day tor days 1-6,sseInpatient CopayYes, with $0 copay fr Ye, with 30 copay forPart D Prescription Drug Coveragepreferred generics$125 deductibleHearing Device Discounts through TruHearingMoney-saving Programs through My AdvocaterNoFideis Carpartners with TuHearing for discounted purchases of hearng devices My Advocate Program, offered theough a company0pay your Medcare Pat 8v of ExtraThe benelit information provided is a briet summary. not a complete desorption of benetes. For moee inlormation contactmay change on January 1 of each year This information is available for ee in oerour Memberan wiah a Medicare contract and a contract with the New York Stane Department of Health Medicad program Enrollmentn Fdelis Care depends on contract renewaAnnual Election Period (AEP) is October 15 - December 7, 2017Call us today! 1-800-860-8707 TTY: 1-800-558-1125Monday-Sunday, 800 a.m.-8.00 p.m. from October 1-February 14Monday-Friday, 800 am-8:00 p.m. from February 15-Soptember 30www.fideliscare.org.met.FC 111

Date: December 21, 2017

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FIDELIS CARE Cost-saving benefits, personalized care Medicare Advantage Plans for 2018 Fidelis Medicare MedicareAdaneage Flex Fidelia Medicare Monthly Part B Premium $134 Flex Benefit Part 8 Deductible PCP Copay $183 $5 Specialist Copay Outpatint Surpery in a Hospital or Ambulatory Surgical Center $10 seaday for days 14, S360 day tor days 1-6, sse Inpatient Copay Yes, with $0 copay fr Ye, with 30 copay for Part D Prescription Drug Coverage preferred generics $125 deductible Hearing Device Discounts through TruHearing Money-saving Programs through My AdvocaterNo Fideis Car partners with TuHearing for discounted purchases of hearng devices My Advocate Program, offered theough a company 0pay your Medcare Pat 8 v of Extra The benelit information provided is a briet summary. not a complete desorption of benetes. For moee inlormation contact may change on January 1 of each year This information is available for ee in oer our Member an wiah a Medicare contract and a contract with the New York Stane Department of Health Medicad program Enrollment n Fdelis Care depends on contract renewa Annual Election Period (AEP) is October 15 - December 7, 2017 Call us today! 1-800-860-8707 TTY: 1-800-558-1125 Monday-Sunday, 800 a.m.-8.00 p.m. from October 1-February 14 Monday-Friday, 800 am-8:00 p.m. from February 15-Soptember 30 www.fideliscare.org .met.FC 111

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