Bee Ma1hay1n7g77 d00 Bee Mk4asti7g77 Bee Baa Hane7g77 D77 Naaltsoos bee Had7h Bee Mk4asti Niyi Hoolzhish7g77 010120 20 123120 20 4h7g77 Ha1h77 Yee Ak ID: 822700
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Bee Maâ1hay1n7g77 d00 Bee Mkâ
Bee Maâ1hay1n7g77 d00 Bee Mkâ4âastiâ7g77 Bee Baa Haneâ7g77: D77 Naaltsoos bee Haâd7hâBee Mkâ4âastiâ Niyiâ Hoolzhish7g77: 01/01/2020 â 12/31/2020 4h7g77 Haâ1hâ77 Yee Akâ4âaghiâ7[77 d00 Haâ1hâ77 d77 Bee Akâ4daâaghiâ7 Hâ11 Ni Bikâ4h Naâayil4h7[77 Blue Cross and Blue Shield Service Benefit Plan: Standard Option Bee Mkâ1âastiâ biniiy4go: Tâ1 H0 Tâe7y1, H0 d00 N11n1 [aâ doodgago H0 d00 Hooghan Hazâ32gi | Naaltsoos bee Haâd7tâ4h7g77 !tâ4: PPO 1 47 18 D77 Bee Maâ1hay1n7g77 d00 Bee Mkâ4âastiâ7g77 Bee Baa Haneâ7g77 (SBC) binaaltsoos 47 d77 atsâ77s n1nelâ88h biniiy4 h1id77sh99 choid77[â88[7g77 yee nikaâiilyeed doolee[ naaltsoos bee haâd7tâ4h7g77 h1id77sh99 choid77[â88[7g77 yee nikaâiilyeed doolee[ D77 SBC 47 haitâ4ego ni d00 naaltsoos bee haâd7tâ4h7g77 d77 atsâ77s baaâ1hay1n7g77 bee akaâan7daâawoâ7g77 b22h daâil7n7g77 bi[ a[kaâan1nilwoâ doolee[7gi 1tâ4ego yee nichâ8â 77shj1n7 7ill4eh doolee[. NMMâ !KON&N&ZIN: Baa haneâ7g77 b33h 7l9n7g77 d77 naaltsoos bee haâd7tâ4h7g77 (kojiâ hodiilnih al1ahdi 1n4eltâeâ bikâ4h nidooly4[7g77 0oly4) b33h al7n7g77 bee 47 baa haneâ7g77 tâ11 sahdii h0l=. D77 â47 tâ00 bee baa haneâ7g77 1tâ4: Hâ11 sh--d7 FEHB Naaltsoos bee haâd7hâ4h7[77 biyiâ [RI 71-005] d77 naaltsoos bee haâd7hâ4h7[77 biyiâ bee a[[haâdaâdeeghâ1b7[77 hâ11 1hâ4 bik11â. FEHB Naaltsoos bee haâd7tâ4h7g77 biyiâ d77 bee aaâ1dahay1n7g77 tâ11 1ât4 tâ11 haâd7n7g77, bee nahazâ1n7g77, d00 doo bidadeetâiâ7g77 dabik11â. Bee aaâ1dahay1b7[77 hâ11 a[22 1b11âbii[ doolee[ n11n1 [ad65â[0 naaltsoos had7hâ4h7[77 bee bikâih b11âaghiâ[c, Medicare 1daahâ4h7[77 dah. D77 saad dabik1â7[77 hâ11 yi[n7n7g77 biniiy4, d77 1daahâ4h7[7 da 1b4elhâeâ bee ah00hâiâ7[77, bee 22h h11jil 1b4elhâeâ yidziih7g77, b4eso 1châ33h baaâbil al22j,â hâ11 h0 nijil4h7g77, al22j,â b4eso hâ11 h0 nijil4h7g77, b44 hidiâb7[7[77, aneeâ 77[7n7 an7daajah7g77, doodago n11n1 [aâ biyaa daâagdnch[c bee bahanâ1b7[77 biniiy4 Naaltsoos Saad Bee $4dahozin7g77 biyiâ d7d77â,,[. FEHB Naaltsoos bee haâd7hâ4h7[77 kchj,â fepblue.org/brochure, n7dii[ts0os doolee[, d00 Saad Nidad4esdzoo7g77 kchj,â www.dol.gov/ebsa/healthreform biniiy4
baa nanit1a doolee[. Naaltsoos
baa nanit1a doolee[. Naaltsoos bee 44dahozin7g77 b44 daâalyaa7[77 [aâ n7n7zingo biyii4 kohj8 1-800-411-BLUE b44sh bee hod7ilnih. Nidaâ7dikid daâil7n7g77 Bee i[n1haneâ7g77 Haâ1tâ7ish biniiy4 bee hazâ3h: B44 hidiân7[7g77 tâ11 1tâ4go sh2â d7kw77h? $ 350/ Hâ1 H0 Hâe7y1 $ 700/ H0 d00 N11n1 [aâ $ 700/ H0 doodgago H0 d00 Hooghan Hanâ32[i !hâ4h7[i 1hâ4e[c, b33h al7n7g77 hâ11 1hâ4 nijil4h bee 22h h11jil7g77, aneeâ 77[7n7 an7daajah7g77 bichâ,â bee dahidiâb7[7j,â 1b4elhâeâ hâah bits4edi d77 naaltsoos bee haâd7hâ4h7[77 b7âiil4e[c hahalzhish7. D77 n11n1 [aâ nighan haz32gi [aâ binhiâ atah dabik1aâ[c naaltsoos bee haâd7hâ4h7[77, d77 nighan hanâ32[i atah danilin7g77 47 hâ11 b7 yidabeelâ32[c b44 dahidiâb7[7[77 7ighah a[eehgo akoh 7nda hâ11 1hâ4 hooghan hanâ32[i b44 dahidiâbi[7[77 b22h al7n7g77 hooghan hanâ32[i yikâ4 bidaâaleeh b44 dahidiâbi[7[77 Bee ak1âanidaâawoâ7ish [aâ d77 tâahdoo b7ighah aleehg00sh bee akâ7daâastiâ b44 dahidiân7[7g77? Accâ Naa[niih bihgâ33 1hahâ9,[c bee aaâ1hay1b7[77 d00 al33j,â bee aaâ1hay1b7[77 bee 1kaâab1âakcâ7 47 hâahdcc b44hidiâb7[7[77 b7ighah anil4eh dago bee akâ4âaghiâ [eh. D77 naaltsoos bee haâd7hâ4h7[77 b7kâidaanhiâ hâ1adcc leâ4 [aâ 1b11daahâeh7[77 d00 bee 1k1âab7daâakcâ7[77 hâahdcc b7ighah anil44h 1j7l4ehgo b44 dahidiâbi[7[77 ab4elhâeâ7[77 !ko ndi al22j,â b4eso hâ11 h0 nijil4h7g77 doodago b4eso 1châ22h baaâbil al22j,â b4eso hâ11 h0 nijil4h7g77 daahgâ7 bee h0l=- doolee[. Bibahj,â habeâ7[77, d77 naaltsoos bee haâd7hâ4h7[77 hâ11 haihâ44gh99 yee akâ4âaghiâ naa[niih bihgâ22 1hahâ9,[c bee 1kaâab7daâakcâ7[77 ] hâ11 g44d B33h daâil7b7[77 bee ahaanits1h1kees7g77 [6 d00 hâahdcc b7ighah anil44hg00go b44 dahidiâb7[7[77 8ibii[âii[ n11h4esdzoo7g77 bee akâ4âaghiâ naa[niih bihgâ22h 1hahâ9,[c bee 1kaâab7daâakcâ7[77 biniiy4 kchj,â https://www.healthcare.gov/coverage/preventive-care-benefits/. 2 47 18 Bee bahanâ1b7[77 d00 bee h1 adahanâhâiâ7[77 bee baa habeâ biniiy4go, FEHB Naaltsoos bee haâd7hâ4h7[77 biyiâ RI 71-005 kchj,â fepblue.org/brochure biniiy4 baa nanit1a doolee[. [aâ 1n11daatâeh7g77 tsâ7d1 biniiy4h7g77sh b44 dahidiân7[7g77sh [aâ n11dahol= b
ee 1kaâan7daâawoâ7g77? Dooda
ee 1kaâan7daâawoâ7g77? Dooda Hâ1adcc b7ighah 7inilaada nidi hâ11 ako b44 dahidiâbi[7[77 [aâ n11dahol= bee 1kaâab7daâakcâ7[77. Haâ1tâ7ish atsâaazis biyiâdoo nijil4h7g77 yee hazâ3â d77 naaltsoos bee haâd7tâ4h7g77? Aneeâ 77[â7b7 Biâilbiiâ7[77 biniiy4go $5,000 Hâ1 H0 Hâe7y1/ $10,000 H0 d00 N11n1 [aâ doodago H0 doodgago H0 d00 Hooghan Hanâ32[i; Aneeâ 77[â7b7 Doo Biâilbiiâ7[77 biniiy4go $7,000 Hâ1 H0 Hâe7y1/ $14,000 H0 d00 N11n1 [aâ doodago H0 doodgago H0 d00 Hooghan Hanâ32[i D77 ahgâaanig biyiâdcc nijil4h7g77 bee hanâ1b7[77 47 [aâ b11haij,â al1ahgo bikâ4h nid77l44[ bee 1kaâab7daâakcâ bee akâ4âaghiâ7[77. D77 n11n1 [aâ nighan haz32gi [aâ binhiâ atah dabik1aâ[cnaaltsoos bee haâd7hâ4h7[77 d77 [aâ naaz7h hâ11gahdii atah danilin7g77 47 hâ11 b7 yidabeelâ32[c ahgâaanig biyiâdcc nijil4h7g77 bee hanâ1b7[77 7ighah a[eehgo akoh 7nda hâ11 1hâ4 hooghan hanâ32[i ahgâaanig biyiâd00 nijil4h7g77 bee hanâ1b7[77 b7ighah yileeh. Haâ1tâ7ish doo b00ltaâ da 47 atsâaazis biyiâdoo nijil4h7g77 bee hazâ1n7g77? !b4elhâeâ b22h al7n7g77, bee 22h h11jil 1b4elhâeâ yidziih7g77 bee 22h h11jil7g77, d00 âahgâ77g baaâahay3 d77 naaltsoos bee haâd7hâ4h7[77 doo yikâ4âaghiâ7[77. Hâ11 sh--d7 naaltsoos bee haâd7hâ4h7[77 biyiâ 4 Saad Dah Shijaaâ7[77 RI 71-005 babibilâ9, doolee[. Azh3sh99 d77 b33h daâal7b7[77 bikâ4h b7â77bil1a nidi, doo bikâij,â k0lhaâ da doolee[ ahgâaanig biyiâd00 nijil4h7g77 bee hanâ1b7[77. Tâ11 hoyahgo nid77l44[ Mzeeâ 27[â7n7 An7daajah7g77 Honeâ4-Bi[ Nidaâanish7g77 chois7ni[88dgo7sh 3]? Accâ ,eeeâ 77[â7b7 bi[ bidaâabigh7[77 dabinhiâ n11h4esdzoo7g77 biniiy4go kchj,â fepblue.org/provider baa ninit1 d00dago ni[ hanâ32di BCBS bi[ bahanâ1b7[77 bichâ,â hod7ilnih . D77 naaltoos bee haâd7hâ4h7[7747 d77 choyool â, aneeâ 77[â7b7 an7daajah7g77 bi[ bidaâabigh77. D77 chcig7bi[â,,d[c hâ11 hoyahgo nid77l44[ bi[ bidaâabigh7[77 d77 Naaltsoos bee haâd7hâ4h7[77 biyiâaneeâ 77[â7b7 an7daajah7g77. D77 chcig7bi[â,,d[c l2â7 nid77l44[ H[â00d66â-Bi[ Nidaâabigh7[77 azeeâ 77[7n7 an7daajah7g77 d00 bee 22h22jil7g77 daahgâ7 [aâ bichâ,â 77l44h doolee[ aneeâ 77[7n7 an7daajah7g77 d77 d7kw77sh99 b77â0h7[77 aneeâ
77[7n7 an7daajah7g77 bee 22haaji
77[7n7 an7daajah7g77 bee 22haajil7g77 d00 ni naaltoos bee haâd7hâ4h7[77[7 neinil1h7g77 (bee 22h h11jil 1b4elhâeâ yidziih7g77). Baaâ 1kon7n7zin ne aneeâ 77[7n7 an7daajahgo bi[ bidaâabigh7[77 d77 da chcyccgâ,,d[c H[â00d66â-B[ Nidaâabigh7[77 [aâ bee 1kaâba7daâakcâ7 (baâalkaah[c bibaâabigh7[77 da). Baa bid7biihâ11l d77 n7 aneeâ 77[â7b7 1kaâab7daajah7[77 a[ts4 hâahdcc bee 1kaâab7daâakcâ7[77 bee bik1âeâeyeed d7. 3 47 18 Bee bahanâ1b7[77 d00 bee h1 adahanâhâiâ7[77 bee baa habeâ biniiy4go, FEHB Naaltsoos bee haâd7hâ4h7[77 biyiâ RI 71-005 kchj,â fepblue.org/brochure biniiy4 baa nanit1a doolee[. Daâ d77sh n7n7zin naaltsoos azeeâ 77[â7n7 haidii[â88hgo 11j7â ah0dilaahgo binahj8â bi[ yaa aash doog11azeeâ 77[â7n7 dah haniih7g77? Dooda Baa n7n1ahgo n1 b7ighah aneeâ 77[â7b7 dah haniih7g77 hâ11 n7 n7n7zin7g77 naaltsoos aneeâ 77[â7b7 haidii[â,,h[c 11j7â ah0dilaahgo hâ11 g44d nidi. Hâ11 1hâ4 b4eso tâ11 h0 nijil4h7g77 d00 b4eso 1châ33h naaânil al22j8â tâ11 h0 nijil4h7g77d77 naaltsoos bee baaghchâ33â bik1â7[77 â47 b44 dahidiân7[7g77 bik44d00 b7ighah gil99â n7, nidi b44 dahidiân7[7g77 bcclh2â[c. Tâ11 haitâ44sh99 Mtsâ77s Nidan4lâ88hgo bil N7dahootâaah7g77 Bee !kaâan7daâawoâ Choid77[â88[7g77 Haâ1tâ77sh99 Tâ11 Ni Nikâ4h N7ânil4h7g77 Bee Nidahazâ7n7g77, Bee L3h Hwiinidzin7g77 d00 N11n1 {aâ Bee $4dahozin B7daholn7h7g77 Mzeeâ 27[â7n7g77 Niâilniiâ7g77 4Tâ11 ni hoyahgo 1n4eltâeâgo nanil4h7g77) Mzeeâ 27[â7n7g77 Doo Niâilniiâ7g77 4Tâ11 ni al1ahgo 1n4eltâeâgo nanil4h7g77, n11bil1ahj8â bee 22h h11jil 1n4eltâ4 b77âoh7g77 tâ11 ni) Mtsâ77s baaâ1hay33j7 bainiy1ago azeeâ 77[â7n7 an7daajah7g77 sid1h7di doodago beâazeeâ il98di Hgâ7d1 a[ts4 aaâ1hy1b7[77 haaâ7da t7 diinidzaago doodago hgâ77 niid00h biniiy4 h22h 1âalb4eh[c $25/ yah ab1âad1h7[77. b4eso b44 dahidiâb7[7[77 doo b7ilts0od da 35% b4eso achâ33h baaâbil al22j,â hâ11 h0 nijil4h7g77 !din Aneeâ &7[â7b7 Dahaniih7g77 bi[ yah ab1âad11h $35/ yah ab1âad1h7[77. b4eso b44 dahidiâb7[7[77 doo b7ilts0od da 35% b4eso achâ33h baaâbil al22j,â hâ11 h0 nijil4h7g77 !din Naa[niih bihgâ22 1hahâ9,[c bee aaâ1hay1b7[77/ daâb4l7b7[77/ aneeâ naa[niih bihgâ22
bi[ aaâadaâahgii7[77 Doo b33h
bi[ aaâadaâahgii7[77 Doo b33h al7n7 da b4eso b44 dahidiâb7[7[77 doo b7ilts0od da 35% b4eso achâ33h baaâbil al22j,â hâ11 h0 nijil4h7g77 Hâ11 bikâ4h biâd77l4e[[c sh99 1hâ4 bee 1kaâab7daâakcâ7 doo Naa[niih bihgâ22 1hahâ7b7[77 Biniiy4 nab7di[kid doolee[ be 1kaâab7daâakcâ7 nidzin7g77 daahgâ7 Naa[niih bihgâ22 1hahâ7b7[77 aneeâ 77[â7b7 an7daajah7g77 !1d00 ni baa nanit1a doolee[ naaltoos bee haâd7hâ4h7[7747 yikâ4h biâdccl44[ daahgâ7 biniiy4. 4 47 18 Bee bahanâ1b7[77 d00 bee h1 adahanâhâiâ7[77 bee baa habeâ biniiy4go, FEHB Naaltsoos bee haâd7hâ4h7[77 biyiâ RI 71-005 kchj,â fepblue.org/brochure biniiy4 baa nanit1a doolee[. Tâ11 haitâ44sh99 Mtsâ77s Nidan4lâ88hgo bil N7dahootâaah7g77 Bee !kaâan7daâawoâ Choid77[â88[7g77 Haâ1tâ77sh99 Tâ11 Ni Nikâ4h N7ânil4h7g77 Bee Nidahazâ7n7g77, Bee L3h Hwiinidzin7g77 d00 N11n1 {aâ Bee $4dahozin B7daholn7h7g77 Mzeeâ 27[â7n7g77 Niâilniiâ7g77 4Tâ11 ni hoyahgo 1n4eltâeâgo nanil4h7g77) Mzeeâ 27[â7n7g77 Doo Niâilniiâ7g77 4Tâ11 ni al1ahgo 1n4eltâeâgo nanil4h7g77, n11bil1ahj8â bee 22h h11jil 1n4eltâ4 b77âoh7g77 tâ11 ni) Tâ11 haitâ4ego da nanidisk1aâgo Naâalkaah bee 7âbeelâ22h7[77 (a[h1daâdildlaad, di[ bi[ baâabigh) 15% b4eso achâ33h baaâbil al22j,â hâ11 h0 nijil4h7g77 35% b4eso achâ33h baaâbil al22j,â hâ11 h0 nijil4h7g77 !din A[h1daâdildlaad (CT/PET scans, MRIâg) 15% b4eso achâ33h baaâbil al22j,â hâ11 h0 nijil4h7g77 35% b4eso achâ33h baaâbil al22j,â hâ11 h0 nijil4h7g77 !din Mtsâ77stah honiig11h doodago nitsâ77stah 1hootâ4h7g77 biniiy4 azeeâ [aâ n7n7zingo Mzeeâ aan7daaâni[7g77 bee akâ4âastiâ7g77 bee baa habeâ7[77 kchj,â fepblue.org/pharmacy baa ninit1ah doolee[ Hanâ1b7[77 1 (Aneeâ Hâ00 bibahj,â 1daahâ4h7[77) &7yi7g77 b22h al7n7g77: $7.50/ aneeâ aab1âbi[7[77 Bi[ &daâalâ9,[c bee akaâab1âakcâ7: $15/ aneeâ aab7daaâbi[7[77 b4eso b44 dahidiâb7[7[77 doo b7ilts0od da Hâ11 1hâ4 nahaniihgo b22h al7n7g77 (Average Wholesale price yi[n7) 45% b7ighah 30- j9h b7ighahgo aab7daaâbi[ bee akâ4âaghiâ. Nil47 90-j9h b7ighahgo aab7daaâbi[ biniiy4 al22j,â b4es0 hâ11 h0 nijil4h7g77 [aâ n11n1 doolee[. oaâ aneeâ aab7daaâbi[7[77 biniiy4 al22j,â bee l1 bi
âiileeh7[77 bee hanâ2h.
âiileeh7[77 bee hanâ2h. 5 47 18 Bee bahanâ1b7[77 d00 bee h1 adahanâhâiâ7[77 bee baa habeâ biniiy4go, FEHB Naaltsoos bee haâd7hâ4h7[77 biyiâ RI 71-005 kchj,â fepblue.org/brochure biniiy4 baa nanit1a doolee[. Tâ11 haitâ44sh99 Mtsâ77s Nidan4lâ88hgo bil N7dahootâaah7g77 Bee !kaâan7daâawoâ Choid77[â88[7g77 Haâ1tâ77sh99 Tâ11 Ni Nikâ4h N7ânil4h7g77 Bee Nidahazâ7n7g77, Bee L3h Hwiinidzin7g77 d00 N11n1 {aâ Bee $4dahozin B7daholn7h7g77 Mzeeâ 27[â7n7g77 Niâilniiâ7g77 4Tâ11 ni hoyahgo 1n4eltâeâgo nanil4h7g77) Mzeeâ 27[â7n7g77 Doo Niâilniiâ7g77 4Tâ11 ni al1ahgo 1n4eltâeâgo nanil4h7g77, n11bil1ahj8â bee 22h h11jil 1n4eltâ4 b77âoh7g77 tâ11 ni) Hanâ1b7[77 2 (Aneeâ Binhiâ Bibahj,â 7hâ7dabiâdih1h7[77) &7yi7g77 b22h al7n7g77: 30% b4eso achâ33h baaâbil al22j,â hâ11 h0 nijil4h7g77 Bi[ &daâalâ9,[c bee akaâab1âakcâ7: $90/ aneeâ aab7daaâbi[7[77. b4eso b44 dahidiâb7[7[77 doo b7ilts0od da Hâ11 1hâ4 nahaniihgo b22h al7n7g77 (Average Wholesale price yi[n7) 45% b7ighah Aneeâ aah dah han7[7g00 dooâchâ7dabiâdihâ1h7[77 aneeâ baay7âb7i[[c b33h al1n7g77 hâ11 1hâ4 bikâ4h biâd77l44[ 11d00 7nda b1hâ33â bib1âily4 biniiy4 naaltsoos bee b1hâ33â b1â0keed7 bee hadid77l77[. Hanâ1b7[77 3 (Aneeâ Doo Binhiâ Bibahj,â 7hâ7dabiâdih1h7[77) &7yi7g77 b22h al7n7g77: 50% b4eso achâ33h baaâbil al22j,â hâ11 h0 nijil4h7g77 Bi[ &daâalâ9,[c bee akaâab1âakcâ7: $125/ aneeâ aab7daaâbi[7[77. b4eso b44 dahidiâb7[7[77 doo b7ilts0od da Hâ11 1hâ4 nahaniihgo b22h al7n7g77 (Average Wholesale price yi[n7) 45% b7ighah Hanâ1b7[77 4 (7hâ7dabidiâhâ1h7[77 aneeâ biniiy4 1daalyaa7g77) &7yi7g77 b22h al7n7g77: 30% b4eso achâ33h baaâbil al22j,â hâ11 h0 nijil4h7g77 Aneeâ aab7daaâbi[ Y4ego Yee Dahaniihgo bi[ Nahanâ1b7[77: $50/ aneeâ aab7daaâbi[7[77. Hâ11 1hâ4 nahaniihgo b22h al7n7g77 (Average Wholesale price yi[n7) 45% b7ighah Nil47j,â yee akâ4âaghiâ 30- j9h b7ighahgo aab7daaâbi[, one fill limit (&7yi7g77 b22h al7n7g77) 90- j9h b7ighahgo aab7daaâbi[ (t1adi) haadilb99h bik44d00 7nda (Aneeâ aab7daaâbi[ Y4ego Yee Dahaniihgo bi[ Nahanâ1b7[77) 6 47 18 Bee bahanâ1b7[77 d00 bee h1 adahanâhâiâ7[77 bee baa habeâ
biniiy4go, FEHB Naaltsoos bee
biniiy4go, FEHB Naaltsoos bee haâd7hâ4h7[77 biyiâ RI 71-005 kchj,â fepblue.org/brochure biniiy4 baa nanit1a doolee[. Tâ11 haitâ44sh99 Mtsâ77s Nidan4lâ88hgo bil N7dahootâaah7g77 Bee !kaâan7daâawoâ Choid77[â88[7g77 Haâ1tâ77sh99 Tâ11 Ni Nikâ4h N7ânil4h7g77 Bee Nidahazâ7n7g77, Bee L3h Hwiinidzin7g77 d00 N11n1 {aâ Bee $4dahozin B7daholn7h7g77 Mzeeâ 27[â7n7g77 Niâilniiâ7g77 4Tâ11 ni hoyahgo 1n4eltâeâgo nanil4h7g77) Mzeeâ 27[â7n7g77 Doo Niâilniiâ7g77 4Tâ11 ni al1ahgo 1n4eltâeâgo nanil4h7g77, n11bil1ahj8â bee 22h h11jil 1n4eltâ4 b77âoh7g77 tâ11 ni) (30- j9h b7ighahgo aab7daaâbi[); $140/ aneeâ aab7daaâbi[7[77. (90- j9h b7ighahgo aab7daaâbi[). b4eso b44 dahidiâb7[7[77 doo b7ilts0od da oaâ aneeâ aab7daaâbi[7[77 biniiy4 al22j,â bee l1 biâiileeh7[77 bee hanâ2h. Aneeâ aah dah han7[7g00 dooâchâ7dabiâdihâ1h7[77 aneeâ baay7âb7i[[c b33h al1n7g77 hâ11 1hâ4 bikâ4h biâd77l44[ 11d00 7nda b1hâ33â bib1âily4 biniiy4 naaltsoos bee b1hâ33â b1â0keed7 bee hadid77l77[. Hanâ1b7[77 5 [0beâ hanâ1b7[77 (Doo 7hâ7dabidiâhâ1h7[77 aneeâ biniiy4 1daalyaa7g77 ) &7yi7g77 b22h al7n7g77: 30% b4eso achâ33h baaâbil al22j,â hâ11 h0 nijil4h7g77 Aneeâ aab7daaâbi[ Y4ego Yee Dahaniihgo bi[ Nahanâ1b7[77: $70/ aneeâ aab7daaâbi[7[77. (30- j9h b7ighahgo aab7daaâbi[); $200/ aneeâ aab7daaâbi[7[77. (90- j9h b7ighahgo aab7daaâbi[). b4eso b44 dahidiâb7[7[77 doo b7ilts0od da Hâ11 1hâ4 nahaniihgo b22h al7n7g77 (Average Wholesale price yi[n7) 45% b7ighah 7 47 18 Bee bahanâ1b7[77 d00 bee h1 adahanâhâiâ7[77 bee baa habeâ biniiy4go, FEHB Naaltsoos bee haâd7hâ4h7[77 biyiâ RI 71-005 kchj,â fepblue.org/brochure biniiy4 baa nanit1a doolee[. Tâ11 haitâ44sh99 Mtsâ77s Nidan4lâ88hgo bil N7dahootâaah7g77 Bee !kaâan7daâawoâ Choid77[â88[7g77 Haâ1tâ77sh99 Tâ11 Ni Nikâ4h N7ânil4h7g77 Bee Nidahazâ7n7g77, Bee L3h Hwiinidzin7g77 d00 N11n1 {aâ Bee $4dahozin B7daholn7h7g77 Mzeeâ 27[â7n7g77 Niâilniiâ7g77 4Tâ11 ni hoyahgo 1n4eltâeâgo nanil4h7g77) Mzeeâ 27[â7n7g77 Doo Niâilniiâ7g77 4Tâ11 ni al1ahgo 1n4eltâeâgo nanil4h7g77, n11bil1ahj8â bee 22h h11jil 1n4eltâ4 b77âoh7g77 tâ11 ni) Mzeeâ il98di yah an1â1d11hj7 nitsâ77s naashgizhgo da
Hanâ1b7[77 bikâ4h azl1h7g77 (
Hanâ1b7[77 bikâ4h azl1h7g77 (e.g., ahgâ77g bibidaâabigh[c naalgish bi[ hanâ1b7[77) 15% b4eso achâ33h baaâbil al22j,â hâ11 h0 nijil4h7g77 35% b7ighahgo b4eso achâ33h baaâbil hâ11 h0 al22j,â nijil4h7g77 naaltsoos b1 hadad7hâ4h7[77 d00 doo naaltsoos b1 dadad7hâ4h7[77 bi[ bahanâ1b7[77 biniiy4go oaâ ahgâ77g bibidaâabigh bee 1kaâab7daâakcâ7 al22j,â bee l1 aleeh7g77 bee hanâ3h. Aneeâ 77[â7b7/ aneeâ 77[7n7 ahgâ77g yinaalnish7g77 bikâ4h azl1h7g77 15% b4eso achâ33h baaâbil al22j,â hâ11 h0 nijil4h7g77 35% b4eso achâ33h baaâbil al22j,â hâ11 h0 nijil4h7g77 Tâ11 haitâ4ego da tâ11 tsx98[go ad7ân0olâ88[ hwiinidzingo Nitsihodidi[go biniiy4 aaâ1hay3 hanâ1b7[77 15% b4eso achâ33h baaâbil al22j,â hâ11 h0 nijil4h7g77 15% b4eso achâ33h baaâbil al22j,â hâ11 h0 nijil4h7g77 72 a[h44âilkid hâ11 bichâ,â hâ11 haihâ4e[c da y4e[c h7 diibidnaa[c bibiiy4 bid7b0clâ,,[ 1k0 dcc bikâ4h biâd77l4e[ da. Hâ11 haihâ4e[c da nitsihodin7d4elgo bee daâa[4h7[77 $100/ j9h. b4eso b44 dahidiâb7[7[77 doo b7ilts0od da $100/ j9h. b4eso b44 dahidiâb7[7[77 doo b7ilts0od da Y1 biyiâdi doodago h011â nitsihodidi[go bee baâa[1h7[77: $150/ j9h 72 a[h44âilkid hâ11 bichâ,â hâ11 haihâ4e[c da y4e[c h7 diibidnaa[c bibiiy4 bid7b0clâ,,[ 1k0 dcc bikâ4h biâd77l4e[ da. Hâ11 tsx98[go ahgâ77g dab4lâ7b7[77 $30/ yah an1ad11h. b4eso b44 dahidiâb7[7[77 doo b7ilts0od da 35% b4eso achâ33h baaâbil al22j,â hâ11 h0 nijil4h7g77 72 a[h44âilkid hâ11 bichâ,â hâ11 haihâ4e[c da y4e[c h7 diibidnaa[c bibiiy4 bid7b0clâ,,[ 1k0 dcc bikâ4h biâd77l4e[ da. 8 47 18 Bee bahanâ1b7[77 d00 bee h1 adahanâhâiâ7[77 bee baa habeâ biniiy4go, FEHB Naaltsoos bee haâd7hâ4h7[77 biyiâ RI 71-005 kchj,â fepblue.org/brochure biniiy4 baa nanit1a doolee[. Tâ11 haitâ44sh99 Mtsâ77s Nidan4lâ88hgo bil N7dahootâaah7g77 Bee !kaâan7daâawoâ Choid77[â88[7g77 Haâ1tâ77sh99 Tâ11 Ni Nikâ4h N7ânil4h7g77 Bee Nidahazâ7n7g77, Bee L3h Hwiinidzin7g77 d00 N11n1 {aâ Bee $4dahozin B7daholn7h7g77 Mzeeâ 27[â7n7g77 Niâilniiâ7g77 4Tâ11 ni hoyahgo 1n4eltâeâgo nanil4h7g77) Mzeeâ 27[â7n7g77 Doo Niâilniiâ7g77 4Tâ11 ni al1ahgo 1n4eltâeâgo nanil4h7g77, n11bil1ahj8â bee 22h h11jil 1n4eltâ4 b77âoh7g77 tâ11 ni) Mzeeâ il9 hootsaa g9neâ sin7d
1ahgo sh2â Hanâ1b7[77 bikâ4h
1ahgo sh2â Hanâ1b7[77 bikâ4h azl1h7g77 (e.g., aneeâ ilâ99 [0beâ hanâ1b7[77) $350/ aneeâ ilâ,, [0beâ hcdiilhgcâ[c b4eso b44 dahidiâb7[7[77 doo b7ilts0od da $450/ aneeâ ilâ,, [0beâ hcdiilhgcâ[c d00 35% b4eso achâ33h baaâbil hâ11 h0 al22j,â nijil4h7g77. b4eso b44 dahidiâb7[7[77 doo b7ilts0od da al32j,â naaltsoos bee 44hozin7g77 bee hanâ3. Doo hâ11 haida al32j,â naaltsoos bee hadilâ,,h7[77 biniiy4 bihichâ,â halbeâ7[00 aneeâ ilâ99 [0beâ asd1h7g77 bee aaâ1hay1b7[77 $500 b7ighahgo b1hâ33 k0dadiiln77[. Aneeâ 77[â7b7/aneeâ 77[7n7 ahgâ77g yinaalnish7g77 bikâ4h azl1h7g77 15% b4eso achâ33h baaâbil al22j,â hâ11 h0 nijil4h7g77 35% b4eso achâ33h baaâbil al22j,â hâ11 h0 nijil4h7g77 oaâ ahgâ77g bibidaâabigh bee 1kaâab7daâakcâ7 al22j,â bee l1 aleeh7g77 bee hanâ3h. Ints4kees 1tâ4h7g77, haâ1tâeâ 1tâ4h7g77 doodago tâ11 haâ1tâ77sh99 azeeâ d00 n1tâoh tsiânidaâii[1h7g77 bee hachâ8â an1hootâiâgo bee 1kaâan7daâawoâ7g77 [aâ n7n7zingo da Aneeâ ilâ9,di yah ab1âad1h7[77 bee ak1âab7daâakcâ7[77 $25/ Aneeâ 77[â7b7 y4ego dahaniih7g77 1kaâiilyeed biniiy4 bi[ yah ab1âad1h7[77 b4eso b44 dahidiâb7[7[77 doo b7ilts0od da 15% b4eso achâ33h baaâbil hâ11 h0 al22j,â nijil4h7g77 aneeâ ilâ9,[i n1ad1h7g77 bee 1kaâabidaâakcâ biniyy4go 35% b4eso achâ33h baaâbil al22j,â hâ11 h0 nijil4h7g77 !din 9 47 18 Bee bahanâ1b7[77 d00 bee h1 adahanâhâiâ7[77 bee baa habeâ biniiy4go, FEHB Naaltsoos bee haâd7hâ4h7[77 biyiâ RI 71-005 kchj,â fepblue.org/brochure biniiy4 baa nanit1a doolee[. Tâ11 haitâ44sh99 Mtsâ77s Nidan4lâ88hgo bil N7dahootâaah7g77 Bee !kaâan7daâawoâ Choid77[â88[7g77 Haâ1tâ77sh99 Tâ11 Ni Nikâ4h N7ânil4h7g77 Bee Nidahazâ7n7g77, Bee L3h Hwiinidzin7g77 d00 N11n1 {aâ Bee $4dahozin B7daholn7h7g77 Mzeeâ 27[â7n7g77 Niâilniiâ7g77 4Tâ11 ni hoyahgo 1n4eltâeâgo nanil4h7g77) Mzeeâ 27[â7n7g77 Doo Niâilniiâ7g77 4Tâ11 ni al1ahgo 1n4eltâeâgo nanil4h7g77, n11bil1ahj8â bee 22h h11jil 1n4eltâ4 b77âoh7g77 tâ11 ni) Aneeâ ilâ99 [0beâ asd1h7g77 bee 1kaâab7daâakc[7[77 Aneeâ 77[â7b7 y4ego dahaniih7g77 1kaâiilyeed biniiy4go doo b33h al7m7 da; $350/ Aneeâ 7[â9,[i aaâ1hay1b7[77 biniiy4 hcdiilhgcâ[c
b4eso b44 dahidiâb7[7[77 doo
b4eso b44 dahidiâb7[7[77 doo b7ilts0od da 35% b4eso achâ33h baaâbil hâ11 h0 al22j,â nijil4h7g77 Aneeâ 77[â7b7 y4ego dahaniih7g77 1kaâiilyeed biniiy4go; 35% b4eso achâ33h baaâbil hâ11 h0 al22j,â nijil4h7g77 hanâ1b7[77 biniiy4go. b4eso b44 dahidiâb7[7[77 doo b7ilts0od da Aneeâ 7lâ99 [0beâ asd1h7g77 biniiy4 al32j,â naaltsoos bee hadilâ,,h7[77 bee hagâ3h. Doo hâ11 haida al32j,â naaltsoos bee hadilâ,,h7[77 biniiy4 bihichâ,â halbeâ7[00 aneeâ ilâ99 [0beâ asd1h7g77 bee aaâ1hay1b7[77 $500 b7ighahgo b1hâ33 k0dadiiln77[. Yinilts32go Aneeâ 77[â7b7 bi[ yah an1ad1h7g77 Doo b33h al7n7 da b4eso b44 dahidiâb7[7[77 doo b7ilts0od da 35% b4eso achâ33h baaâbil al22j,â hâ11 h0 nijil4h7g77 !din Ach7i[c/ak44â haalteehgo yee dahaniih7g77 bee 1kaâab7daâakcâ7[77 Doo b33h al7n7 da b4eso b44 dahidiâb7[7[77 doo b7ilts0od da 35% b4eso achâ33h baaâbil al22j,â hâ11 h0 nijil4h7g77 !din Ach7i[c/ak44â haalteehgo hanâ32[i bee 1kaâab7daâakcâ7[77 Doo b33h al7n7 da b4eso b44 dahidiâb7[7[77 doo b7ilts0od da 35% b4eso achâ33h baaâbil al22j,â hâ11 h0 nijil4h7g77 !din 10 47 18 Bee bahanâ1b7[77 d00 bee h1 adahanâhâiâ7[77 bee baa habeâ biniiy4go, FEHB Naaltsoos bee haâd7hâ4h7[77 biyiâ RI 71-005 kchj,â fepblue.org/brochure biniiy4 baa nanit1a doolee[. Tâ11 haitâ44sh99 Mtsâ77s Nidan4lâ88hgo bil N7dahootâaah7g77 Bee !kaâan7daâawoâ Choid77[â88[7g77 Haâ1tâ77sh99 Tâ11 Ni Nikâ4h N7ânil4h7g77 Bee Nidahazâ7n7g77, Bee L3h Hwiinidzin7g77 d00 N11n1 {aâ Bee $4dahozin B7daholn7h7g77 Mzeeâ 27[â7n7g77 Niâilniiâ7g77 4Tâ11 ni hoyahgo 1n4eltâeâgo nanil4h7g77) Mzeeâ 27[â7n7g77 Doo Niâilniiâ7g77 4Tâ11 ni al1ahgo 1n4eltâeâgo nanil4h7g77, n11bil1ahj8â bee 22h h11jil 1n4eltâ4 b77âoh7g77 tâ11 ni) Tâ11 haitâ4ego da hashtâeâ nin1â7d1ahgi doodago n11n1[aâ biniiy4h7g77 atsâ77s bee shikaâadoowo[ n7n7zingo Hooghandi ahgâ77g bee aaâ1hay1b7[77 15% b4eso achâ33h baaâbil al22j,â hâ11 h0 nijil4h7g77 35% b4eso achâ33h baaâbil al22j,â hâ11 h0 nijil4h7g77 50 yah an1ad11h bee hanâ3h/ bib1hah1ahj,â Hâ11 haihâ4e[i da ahgâ77g b1kâ22g bee 1kaâab7daâakcâ7[77 Aneeâ ilâ9,[i b1âad1ah[c haj47 yilwo[7g77 b1belâ,,h: 15% b4eso achâ33h baaâbil
al22j,â hâ11 h0 nijil4h7g77
al22j,â hâ11 h0 nijil4h7g77 Ahgâ77g tah, naanish, saad bee y1hiâ d00 inst4kees bee b7daââakâ22g: $25/ al22j,â 1[ts4 aaâ1haly1b7[77 n1d1h7g77, $35/ b1âad1h7[77 (aneeâ 77[â7b7 dahaniih7g77). b4eso b44 dahidiâb7[7[77 doo b7ilts0od da 35% b4eso achâ33h baaâbil al22j,â hâ11 h0 nijil4h7g77 75 yah an1ad11h bee hanâ3h/ bib1hah1ahj,â Ahgâ77g tah, naanish d00 saad bee y1hiâ bee b7daââakâ22g b00lh2â 11 47 18 Bee bahanâ1b7[77 d00 bee h1 adahanâhâiâ7[77 bee baa habeâ biniiy4go, FEHB Naaltsoos bee haâd7hâ4h7[77 biyiâ RI 71-005 kchj,â fepblue.org/brochure biniiy4 baa nanit1a doolee[. Tâ11 haitâ44sh99 Mtsâ77s Nidan4lâ88hgo bil N7dahootâaah7g77 Bee !kaâan7daâawoâ Choid77[â88[7g77 Haâ1tâ77sh99 Tâ11 Ni Nikâ4h N7ânil4h7g77 Bee Nidahazâ7n7g77, Bee L3h Hwiinidzin7g77 d00 N11n1 {aâ Bee $4dahozin B7daholn7h7g77 Mzeeâ 27[â7n7g77 Niâilniiâ7g77 4Tâ11 ni hoyahgo 1n4eltâeâgo nanil4h7g77) Mzeeâ 27[â7n7g77 Doo Niâilniiâ7g77 4Tâ11 ni al1ahgo 1n4eltâeâgo nanil4h7g77, n11bil1ahj8â bee 22h h11jil 1n4eltâ4 b77âoh7g77 tâ11 ni) Hâ11 Haâ1hâ77gh99 Bee N1âakâ22g bee 1kaâab7daâakcâ7[77 $25/al22j,â 1[ts4 aaâ1haly1b7[77 n1d1h7g77, $35/b1âad1h7[77 (aneeâ 77[â7b7 dahaniih7g77). b4eso b44 dahidiâb7[7[77 doo b7ilts0od da 35% b4eso achâ33h baaâbil al22j,â hâ11 h0 nijil4h7g77 75 yah an1ad11h bee hanâ3h/ bib1hah1ahj,â. Ahgâ77g tah, naanish d00 saad bee y1hiâ bee b7daââakâ22g bee akâ4âaghiâ bee hanâ2h. Aneeâ neik1h7 bi[ b44 hozin7g77 bee aaâ1hay1b7[77 $175. b4eso b44 dahidiâb7[7[77 doo b7ilts0od da $275 n11 b00lh2â[c 35% b4eso achâ33h baaâbil hâ11 h0 al22j,â nijil4h7g77 . b4eso b44 dahidiâb7[7[77 doo b7ilts0od da 30 j9h b1âad1h7[77 bee hanâ3h. 5 G0beâ saad dah ghijaaâ7[77 b7b7[â9, doolee[ (c) Naaltsoos bee b1 hadad7hâ4h7[77 Medicare Part A primary woly4h7g77 bee h0l0n7g77 bee bikâ4âaghiâ da. 12 47 18 Bee bahanâ1b7[77 d00 bee h1 adahanâhâiâ7[77 bee baa habeâ biniiy4go, FEHB Naaltsoos bee haâd7hâ4h7[77 biyiâ RI 71-005 kchj,â fepblue.org/brochure biniiy4 baa nanit1a doolee[. Tâ11 haitâ44sh99 Mtsâ77s Nidan4lâ88hgo bil N7dahootâaah7g77 Bee !kaâan7daâawoâ Choid77[â88[7g77 Haâ1tâ77sh9
9 Tâ11 Ni Nikâ4h N7ânil4h7
9 Tâ11 Ni Nikâ4h N7ânil4h7g77 Bee Nidahazâ7n7g77, Bee L3h Hwiinidzin7g77 d00 N11n1 {aâ Bee $4dahozin B7daholn7h7g77 Mzeeâ 27[â7n7g77 Niâilniiâ7g77 4Tâ11 ni hoyahgo 1n4eltâeâgo nanil4h7g77) Mzeeâ 27[â7n7g77 Doo Niâilniiâ7g77 4Tâ11 ni al1ahgo 1n4eltâeâgo nanil4h7g77, n11bil1ahj8â bee 22h h11jil 1n4eltâ4 b77âoh7g77 tâ11 ni) Bee bidaâabigh7 nizaadg00 dibaâ7[77 bee ahâg77g dab4lâ7b7[77 15% b4eso achâ33h baaâbil al22j,â hâ11 h0 nijil4h7g77 35% b4eso achâ33h baaâbil al22j,â hâ11 h0 nijil4h7g77 !din Hâ11 Y4ego Hahgâ77g Bichâ,â ab1hcchâiâ[c bee ak1âab7daâakcâ7[77 Doo b33h al7n7 da. B4eso b44 dahidiâb7[7[77 doo b7ilts0od da. Hâ11 Hki[ Hanâ1b7di Hooghan7g77 (B1haâd7hâ4h7[77/Doo-B1haâd7hâ4h7[77 bi[ bahanâ1b7[77): Doo b33h al7n7 da $450 al22j,â b4egc hâ11 h0 nijil4h7g77/a[k44â dah sinilgo sinil7g77. B4eso b44 dahidiâb7[7[77 doo b7ilts0od da. Aaâ1dah Hay1b7di Hcc[hab7[77 d00 Hâ11 !adi Asd1ah7g77 (B1haâd7hâ4h7[77 bi[ bahanâ1b7[77): $450/ a[k44â dah gibil[c sinil7g77. B4eso b44 dahidiâb7[7[77 doo b7ilts0od da. Aaâ1dah Hay1b7di Hcc[hab7[77 d00 Hâ11 !adi Asd1ah7g77 (Doo-Ahgâ77g y4ego bichâ,â ab1hcchâi[c bee aaâ1hay1b7[77 bi[ hanâ1b7[77 biniiy4go al22j,â bee l1 aleeh7g77 bee hanâ3h. Ahgâ77g y4ego bichâ,â ab1hcchâi[c bee aaâ1hay1b7[77 bi[ hanâ1b7di 30 j9h hâ11 a[k44â asd1h7g77 bee aaâ1hay3h. 13 47 18 Bee bahanâ1b7[77 d00 bee h1 adahanâhâiâ7[77 bee baa habeâ biniiy4go, FEHB Naaltsoos bee haâd7hâ4h7[77 biyiâ RI 71-005 kchj,â fepblue.org/brochure biniiy4 baa nanit1a doolee[. Tâ11 haitâ44sh99 Mtsâ77s Nidan4lâ88hgo bil N7dahootâaah7g77 Bee !kaâan7daâawoâ Choid77[â88[7g77 Haâ1tâ77sh99 Tâ11 Ni Nikâ4h N7ânil4h7g77 Bee Nidahazâ7n7g77, Bee L3h Hwiinidzin7g77 d00 N11n1 {aâ Bee $4dahozin B7daholn7h7g77 Mzeeâ 27[â7n7g77 Niâilniiâ7g77 4Tâ11 ni hoyahgo 1n4eltâeâgo nanil4h7g77) Mzeeâ 27[â7n7g77 Doo Niâilniiâ7g77 4Tâ11 ni al1ahgo 1n4eltâeâgo nanil4h7g77, n11bil1ahj8â bee 22h h11jil 1n4eltâ4 b77âoh7g77 tâ11 ni) B1haâd7hâ4h7[77 bi[ bahanâ1b7[77): $450/hâ11 1k11h hcdiilhgcâ[c b11b00lh2â7[77 35% b4eso achâ33h baaâbil al22j,â hâ11 h0 nijil4h7g77. B4eso b44 dahidiâb7[7[77 doo b7ilts0od da. 14 47 18 Bee bahanâ1b7[77 d00 bee
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