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Medicare Assured® HMO Summary of Benefits

This Summary of Benefits tells you some of the features of our plan. It doesn't list every service we cover or list every limitation or exclusion. To get a complete list of our benefits, please see the "Evidence of Coverage - 2010."

Forms require the Adobe Acrobat Reader installed on your system. Most computers have this program installed. If it is not installed on your computer, you can download it for free from Adobe.

Please call Gateway Health Plan Medicare Assured® for help or information, 8:00 am - 8:00 pm; 7 days a week.
Calls to these numbers are free.

Current Members Should Call: 1-800-685-5209

Prospective Members Should Call: 1-877-GATEWAY
TTY: 1-800-654-5988


H5932_432 CMS Approval 12/18/2009
Gateway Health Plan Medicare Assured® HMO
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Last Updated: 1/1/2010