Hill. Blaine Phillips. Garfield Lewis And Clark Cascade. Fergus Petroleum Judith Basin. Rosebud Yellowstone Silver Bow

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1 ontana 2015 edicare dvantage Service rea Lincoln Flathead Glacier ondera Toole Liberty Hill Blaine hillips Valley aniels Roosevelt Sheridan Sanders Lake Teton Chouteau ccone Richland ineral Garfield Lewis nd Clark Cascade Fergus etroleum Judith Basin issoula owell eagher Wheatland Granite Golden Valley usselshell Broadwater Jefferson Treasure Ravalli eer Lodge Rosebud Yellowstone Silver Bow Sweet Grass Gallatin Stillwater ark Big Horn adison Carbon Beaverhead awson rairie Wibaux Custer Fallon Carter owder River The information described in this document is pending government approval and is therefore subject to change. For producer internal use only. istribution, directly or indirectly, to edicare beneficiaries, other insurers, or any other person or company is strictly prohibited. Unauthorized dissemination, forwarding, or copying of this information may subject the user to disciplinary action, up to and including termination and/or civil or criminal penalties.

2 UnitedHealthcare edicare Solutions edicare dvantage lans to 2015 CS Filed County H-B Year lan Type SN Type lan Name Calls Ref remium C Specialist Inpatient OO aximum edical age 1 of 6 onday, July 21, 2014 State: ontana Blaine H FFS H Carter H FFS H aniels H FFS H awson H FFS H The information described in this document is pending government approval and is therefore subject to change. For producer internal use only. istribution, directly or indirectly, to edicare beneficiaries, other insurers, or any other person or company is strictly prohibited. Unauthorized dissemination, forwarding, or copying of this information may subject the user

3 UnitedHealthcare edicare Solutions edicare dvantage lans to 2015 CS Filed County H-B Year lan Type SN Type eer Lodge H FFS lan Name Calls Ref remium C Specialist Inpatient OO aximum edical age 2 of 6 onday, July 21, 2014 H Fallon H FFS H Garfield H FFS H Golden Valley H FFS H The information described in this document is pending government approval and is therefore subject to change. For producer internal use only. istribution, directly or indirectly, to edicare beneficiaries, other insurers, or any other person or company is strictly prohibited. Unauthorized dissemination, forwarding, or copying of this information may subject the user

4 UnitedHealthcare edicare Solutions edicare dvantage lans to 2015 CS Filed County H-B Year lan Type SN Type Liberty H FFS lan Name Calls Ref remium C Specialist Inpatient OO aximum edical age 3 of 6 onday, July 21, 2014 H Lincoln H FFS H adison H FFS H etroleum H FFS H The information described in this document is pending government approval and is therefore subject to change. For producer internal use only. istribution, directly or indirectly, to edicare beneficiaries, other insurers, or any other person or company is strictly prohibited. Unauthorized dissemination, forwarding, or copying of this information may subject the user

5 UnitedHealthcare edicare Solutions edicare dvantage lans to 2015 CS Filed County H-B Year lan Type SN Type hillips H FFS lan Name Calls Ref remium C Specialist Inpatient OO aximum edical age 4 of 6 onday, July 21, 2014 H owder River H FFS H rairie H FFS H Roosevelt H FFS H The information described in this document is pending government approval and is therefore subject to change. For producer internal use only. istribution, directly or indirectly, to edicare beneficiaries, other insurers, or any other person or company is strictly prohibited. Unauthorized dissemination, forwarding, or copying of this information may subject the user

6 UnitedHealthcare edicare Solutions edicare dvantage lans to 2015 CS Filed County H-B Year lan Type SN Type Sheridan H FFS lan Name Calls Ref remium C Specialist Inpatient OO aximum edical age 5 of 6 onday, July 21, 2014 H Silver Bow H FFS H Toole H FFS H Treasure H FFS H The information described in this document is pending government approval and is therefore subject to change. For producer internal use only. istribution, directly or indirectly, to edicare beneficiaries, other insurers, or any other person or company is strictly prohibited. Unauthorized dissemination, forwarding, or copying of this information may subject the user

7 UnitedHealthcare edicare Solutions edicare dvantage lans to 2015 CS Filed County H-B Year lan Type SN Type Valley H FFS lan Name Calls Ref remium C Specialist Inpatient OO aximum edical age 6 of 6 onday, July 21, 2014 The information described in this document is pending government approval and is therefore subject to change. For producer internal use only. istribution, directly or indirectly, to edicare beneficiaries, other insurers, or any other person or company is strictly prohibited. Unauthorized dissemination, forwarding, or copying of this information may subject the user

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