Medicare Advantage (HMO) San Joaquin County in partnership with Omni IPA / Medcore HP $0 - Monthly Health Plan Premium

$0 - Inpatient Acute Hospitalization

$0 - Dental Plan Premium

$0 - Preferred Generic Drugs

$0 - Primary Care & Specialist Visits

$50,000 - Worldwide Emergency Coverage

(Generic for Viagra®) 6 Tablets per Month

FREE Eyewear & Lens Enhancements

$0 - Frames

$0 - Polycarbonate & Photochromic Lenses

$0 - UV Coatings

$0 -- Standard Progressive Lenses

$0 -- Scratch Resistant

$0 -- Single Vision, Bifocal, Trifocal Lenses

$0 - Lenticular Lenses

$0

$0 -- Transportation

$0 -- Fitness Membership at Multiple Locations

$0 -- Acupuncture

$0 -- Over --the --Counter- Remedies

$0 - Chiropractic Care

$0 - Eye Exam and Hearing Exam

Vitality Choice (HMO)

-Insert Agent Name and Phone Number-Calling this number will direct you to a licensed agent. Member Services 1-866-333-3530 (TTY 711) 8 a.m. to 8 p.m. seven days a week from October 1 through March 31, and 8 a.m. to 8 p.m. Monday through Friday from April 1 through September 30

H1426_19_080_MK_ENG_M Approved

Vitality Health Plan of California is a Medicare Advantage HMO with a Medicare contract. Enrollment in Vitality Health Plan of California depends on contract renewal.

This information is not a complete description of benefits. Call 1-866-333-3530 (TTY 711) for more information 8 a.m. to 8 p.m., seven days a week from October 1 through March 31, and 8 a.m. to 8 p.m. Monday to Friday from April 1 through September 30. ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-866-333-3530 (TTY: 711). ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-866-333-3530 (TTY: 711).注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-866-333-3530（TTY：711）

For accommodations of persons with special needs at meetings call 1-866-333-3530 (TTY 711). 8 a.m. to 8 p.m., seven days a week from October 1 through March 31, and 8 a.m. to 8 p.m. Monday to Friday from April 1 through September 30. Other Physicians are available in our network.

H1426_19_080_MK_ENG_M Approved