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Enrollment First SelectMed Bronze Pro — Schedule of Benefits

Enrollment First

Enrollment First SelectMed Bronze Pro — Schedule of Benefits page 3

Enrollment First SelectMed Bronze Pro — Schedule of Benefits page 4

Enrollment First SelectMed Bronze Pro — Schedule of Benefits page 5

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This brochure is the carrier's own document and is provided for general information. Benefits, availability, form numbers and rates vary by state and are confirmed at the time of application. This is not a contract; the policy documents govern. Plans shown are private insurance products and are not Affordable Care Act major medical plans.