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# Plan G
HospitalizationYou Pay $0
Skilled Nursing Facility CareYou Pay $0
Hospice CareYou Pay $0
Home Health Care Medicare-Approved ServicesYou Pay $0
Medical Expenses (In or Out of the hospital treatment)You Pay $203
Clinical Laboratory Services- Test for Diagnostic ServicesYou Pay $0
Foreign Travel EmergencyYou Pay $250, then 20% and amounts over
the $50,000 lifetime Maximum
Accupunture ServicesNot Covered
Free Extra BenefitsBasic Gym Access
NoticeAbove benefit is only applied to Los Angeles County and Orange County. For other counties, please feel free to contact our agents
Plan detail information PDF
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〈Anthem Blue Cross〉
# Plan G Extra
HospitalizationYou Pay $0
Skilled Nursing Facility CareYou Pay $0
Hospice CareYou Pay $0
Home Health Care Medicare-Approved ServicesYou Pay $0
Medical Expenses (In or Out of the hospital treatment)You Pay $203
Clinical Laboratory Services- Test for Diagnostic ServicesYou Pay $0
Foreign Travel EmergencyYou Pay $250, then 20% and amounts over
the $50,000 lifetime Maximum
Acupuncture ServicesNot Covered
Free Extra BenefitsBasic Gym Access
NoticeAbove benefit is only applied to Los Angeles County and Orange County. For other counties, please feel free to contact our agents
Plan detail information PDF
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〈Blue Shield〉
# Plan G
HospitalizationYou Pay $0
Skilled Nursing Facility CareYou Pay $0
Hospice CareYou Pay $0
Home Health Care Medicare-Approved ServicesYou Pay $0
Medical Expenses (In or Out of the hospital treatment)You Pay $203
Clinical Laboratory Services- Test for Diagnostic ServicesYou Pay $0
Foreign Travel EmergencyYou Pay $250, then 20% and amounts over
the $50,000 lifetime Maximum
Acupuncture ServicesNot Covered
Free Extra BenefitsBasic Gym Access
NoticeAbove benefit is only applied to Los Angeles County and Orange County. For other counties, please feel free to contact our agents
Plan detail information PDF
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〈UHC AARP〉

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