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(1) Is the requested option Review the full list of benefits found in the Evidence of Coverage (EOC), especially those services for which you routinely see a doctor. Visit www.aspirehealthplan.org or call? 
(2) Is the requested option Review the provider directory (or ask your doctor) to make sure the doctors you see now are in the network. If they are not listed, it means you will likely have to select a new doctor.? 
(3) Is the requested option Review the pharmacy directory to make sure the pharmacy you use for any prescription medicines is in the network. If the pharmacy is not listed, you will likely have to select a new? 
(4) Is the requested option Review the formulary to make sure your drugs are covered. Understanding Important Rules? 
(5) Is the requested option In addition to your monthly plan premium, you must continue to pay your Medicare Part B premium. This premium is normally taken out of your Social Security check each month.? 

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PRESENTED BY 2026 Summary of Benefits JANUARY 1–DECEMBER 31 Aspire Health Protect (HMO)
Aspire Health Value (HMO)
Aspire Health Advantage (HMO) Aspire Health Plus (HMO-POS) This is a summary of drug and health services covered by Aspire Health (HMO) January 1, 2026—December 31, 2026. Aspire Health is an HMO plan sponsor with a Medicare contract. Enrollment in Aspire Health depends on contract renewal. H8764MKTSB0825M

Aspire Health Summary of Benefits 2026 2 NOTES: Services with a 1 may require prior authorization. *Out-of-network coverage is restricted to Medicare-eligible practitioners and Medicare-covered services accessed outside of the plan’s service area of Monterey County, California. Summary of Benefits Aspire Health service area is Monterey County, California ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) $0 monthly plan premium in addition to your monthly Part B premium. $60.00 monthly plan premium in addition to your monthly Part B premium. $196.00 monthly plan premium in addition to your monthly Part B premium. ASPIRE HEALTH PLUS (HMO-POS) $366.00 monthly plan premium in addition to your monthly Part B premium. ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) This plan does not have a deductible. This plan does not have a deductible. This plan does not have a deductible. ASPIRE HEALTH PLUS (HMO-POS) This plan does not have a deductible. Monthly premium, deductible, and limits on how much you pay for covered services Monthly plan premium Medical services deductible

3 Benefit notes: Our plan also covers 60 “lifetime reserve days.” These are “extra” days that we cover. If your hospital stay is longer than 90 days, you can use these extra days. But once you have used up these extra 60 days, your inpatient hospital coverage will be limited to 90 days. Maximum out-of-pocket responsibility (does not include prescription drugs) Inpatient hospital coverage1 ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) $6,500 annually The most you pay for co-pays and co-insurance for Medicare- covered medical benefits for the year for services you receive from in-network providers.
$6,000 annually The most you pay for co-pays and co-insurance for Medicare- covered medical benefits for the year for services you receive from in-network providers.
$4,300 annually The most you pay for co-pays and co-insurance for Medicare- covered medical benefits for the year for services you receive from in-network providers.
ASPIRE HEALTH PLUS (HMO-POS) $3,900 in and out of service area combined The most you pay for co-pays and co-insurance for Medicare-covered medical benefits for the year. ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) Our plan covers 90 days for an inpatient hospital stay. You pay $505 co-pay per day for days 1 through 2. You pay $300 co-pay per day for days 3 through 4. You pay $0 co-pay per day for days 5 through 90. Our plan covers 90 days for an inpatient hospital stay. You pay $500 co-pay per day for days 1 through 2. You pay $300 co-pay per day for days 3 through 4. You pay $0 co-pay per day for days 5 through 90. Our plan covers 90 days for an inpatient hospital stay. You pay $600 co-pay per day for days 1 through 2. You pay $300 co-pay per day for days 3 through 4. You pay $0 co-pay per day for days 5 through 90. ASPIRE HEALTH PLUS (HMO-POS) Our plan covers 90 days for an inpatient hospital stay. In network: You pay $550 co-pay per day for days 1 through 2. You pay $250 co-pay per day for days 3 though 4. You pay $0 co-pay per day for days 5 through 90. Out of network*: You pay 30% co-insurance for days 1 through 90.

Aspire Health Summary of Benefits 2026 4 Outpatient hospital ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) You pay $300 co-pay or 20% of the cost, depending on the service. You pay $300 co-pay or 20% of the cost, depending on the service. You pay $275 co-pay or 20% of the cost, depending on the service. ASPIRE HEALTH PLUS (HMO-POS) In network: You pay $200 co-pay or 20% of the cost, depending on the service. Out of network: You pay 30% co-insurance. Diagnostic colonoscopy and endoscopy surgical procedures ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) You pay $300 co-pay per date of service. You pay $300 co-pay per date of service. You pay $60 co-pay per date of service. ASPIRE HEALTH PLUS (HMO-POS) In network: You pay $40 co-pay per date of service. Out of network: You pay 30% co-insurance. Wound care ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) You pay $80 co-pay for each wound care treatment per date of service.
You pay $80 co-pay for each wound care treatment per date of service. You pay $60 co-pay for each wound care treatment per date of service. ASPIRE HEALTH PLUS (HMO-POS) In network: You pay $40 co-pay for each wound care treatment per date of service. Out of network*: You pay 30% co-insurance. Outpatient hospital coverage1

5 Primary Care ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) You pay $5 co-pay per in-person visit. You pay $5 co-pay per in-person visit. You pay $0 co-pay per in-person visit. ASPIRE HEALTH PLUS (HMO-POS) In network: You pay $0 co-pay per in-person visit. Out of network: You pay 30% co-insurance per visit Specialists1 ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) You pay $45 co-pay per in-person visit.
You pay $45 co-pay per in-person visit. You pay $25 co-pay per in-person visit. ASPIRE HEALTH PLUS (HMO-POS) In network: You pay $20 co-pay per in-person visit. Out of network
: You pay 30% co-insurance per visit. Telehealth ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) You pay $0 co-pay.
You pay $0 co-pay. You pay $0 co-pay. ASPIRE HEALTH PLUS (HMO-POS) In network: You pay $0 co-pay. Out of network: You pay 30% co-insurance. Doctor visits Ambulatory surgical center1 ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) You pay $300 co-pay per date of service. You pay $300 co-pay per date of service. You pay $275 co-pay per date of service. ASPIRE HEALTH PLUS (HMO-POS) In network: You pay $200 co-pay per date of service. Out of network: You pay 30% co-insurance.

Aspire Health Summary of Benefits 2026 6 Benefit notes: If you are admitted to the hospital within 24 hours, you do not have to pay your share of the cost for emergency care. See the “Inpatient Hospital Coverage” section of this booklet for other costs.
Benefit notes: If you are admitted to the hospital within 24 hours, you do not have to pay your share of the cost for urgent care. See the “Inpatient Hospital Coverage” section of this booklet for other costs. Preventive care Urgently needed services Emergency care ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) There is no co-insurance, co-pay, or deductible for all Original Medicare preventive services.
There is no co-insurance, co-pay, or deductible for all Original Medicare preventive services. There is no co-insurance, co-pay, or deductible for all Original Medicare preventive services. ASPIRE HEALTH PLUS (HMO-POS) There is no co-insurance, co-pay, or deductible for all Original Medicare preventive services. ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) You pay $115 co-pay per visit. You pay $115 co-pay per visit. You pay $115 co-pay per visit. ASPIRE HEALTH PLUS (HMO-POS) In network: You pay $115 co-pay per visit. Out of network: You pay $115 co-pay per visit. ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) You pay $25 co-pay per visit.
You pay $25 co-pay per visit. You pay $0 co-pay per visit. ASPIRE HEALTH PLUS (HMO-POS) In network: You pay $0 co-pay per visit. Out of network*: You pay $0 co-pay per visit.

7 Diagnostic services/labs/imaging1 Diagnostic tests and procedures ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) You pay $20 co-pay per service. You pay $20 co-pay per service. You pay $10 co-pay per service. ASPIRE HEALTH PLUS (HMO-POS) In network: You pay $0 co-pay per service. Out of network: You pay 30% co-insurance for each service Lab services ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) You pay $20 co-pay per service. You pay $20 co-pay per service. You pay $10 co-pay per service. ASPIRE HEALTH PLUS (HMO-POS) In network: You pay $0 co-pay per service. Out of network: You pay 30% co-insurance for each service General diagnostic radiology services ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) You pay 15% co-insurance per service. You pay $90 co-pay per service. You pay $60 co-pay per service. ASPIRE HEALTH PLUS (HMO-POS) In network: You pay $30 co-pay per service. Out of network: You pay 30% co-insurance for each service. Complex diagnostic radiology services (such as CT, PET, MRI, MRA, Nuclear Medicine, Angiography) ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) You pay 15% co-insurance per service. You pay $250 co-pay per service. You pay $150 co-pay per service. ASPIRE HEALTH PLUS (HMO-POS) In network: You pay $100 co-pay per service. Out of network: You pay 30% co-insurance for each service. Therapeutic radiology services (such as radiation treatment for cancer) ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) You pay 20% co-insurance per service. You pay 20% co-insurance per service. You pay 20% co-insurance per service. ASPIRE HEALTH PLUS (HMO-POS) In network: You pay 20% co-insurance per service. Out of network: You pay 30% co-insurance for each service. Outpatient X-rays ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) You pay $20 co-pay per X-ray.
You pay $20 co-pay per X-ray. You pay $10 co-pay per X-ray. ASPIRE HEALTH PLUS (HMO-POS) In network: You pay $0 co-pay per X-ray.
Out of network
: You pay 30% co-insurance for each service.

Aspire Health Summary of Benefits 2026 8 Dental services1 Hearing services Medicare-covered hearing exam ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) You pay $45 co-pay for each Medicare- covered diagnostic hearing exam. You pay $45 co-pay for each Medicare-covered diagnostic hearing exam. You pay $25 co-pay for each Medicare-covered diagnostic hearing exam. ASPIRE HEALTH PLUS (HMO-POS) In network: You pay $20 co-pay. Out of network*: You pay 30% co-insurance. Additional hearing services Refer to the optional supplemental benefits section for details. ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) Available in the Enhanced Benefits — Option B for an additional premium of $49.00 per month.
Available in the Enhanced Benefits — Option B for an additional premium of $49.00 per month. Available in the Enhanced Benefits — Option C for an additional premium of $43.00 per month. ASPIRE HEALTH PLUS (HMO-POS) Available in the Enhanced Benefits — Option B for an additional premium of $49.00 per month. ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) Dental coverage is limited to services covered by Medicare under Medicare Part A hospital and Medicare Part B medical benefits. Dental coverage is limited to services covered by Medicare under Medicare Part A hospital and Medicare Part B medical benefits. Dental coverage includes services covered by Medicare and preventive services through our Delta Dental network in Monterey County ASPIRE HEALTH PLUS (HMO-POS) Dental coverage is limited to services covered by Medicare under Medicare Part A hospital and Medicare Part B medical benefits. Additional dental services Refer to the optional supplemental benefits section for details. ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) Available in the Enhanced Benefits — Options A and B for an additional premium of $45.00 or $49.00 per month.
Available in the Enhanced Benefits — Options A and B for an additional premium of $45.00 or $49.00 per month. Available in the Enhanced Benefits — Option C for an additional premium of $43.00 per month. ASPIRE HEALTH PLUS (HMO-POS) Available in the Enhanced Benefits — Options A and B for an additional premium of $45.00 or $49.00 per month.

9 Vision services1 Exam to diagnose and treat diseases and conditions of the eye (including yearly glaucoma screening) ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) You pay $45 co-pay for each Medicare- covered exam.
You pay $45 co-pay for each Medicare-covered exam. You pay $25 co-pay for each Medicare- covered exam. ASPIRE HEALTH PLUS (HMO-POS) In network: You pay $20 co-pay. Out of network: You pay 30% co-insurance. Eyeglasses or contact lenses after cataract surgery ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) You pay $0 co-pay You pay $0 co-pay You pay $0 co-pay ASPIRE HEALTH PLUS (HMO-POS) In network: You pay $0 co-pay. Out of network: You pay 30% co-insurance. Additional vision services Refer to the optional supplemental benefits section for details. ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) Available in the Enhanced Benefits — Options A and B for an additional premium of $45.00 or $49.00 per month.
Available in the Enhanced Benefits — Options A and B for an additional premium of $45.00 or $49.00 per month. Available in the Enhanced Benefits — Option C for an additional premium of $43.00 per month. ASPIRE HEALTH PLUS (HMO-POS) Available in the Enhanced Benefits — Options A and B for an additional premium of $45.00 or $49.00 per month. Additional services and benefits (not covered by Medicare) are not covered out-of-network.

Aspire Health Summary of Benefits 2026 10 Benefit notes: Our plan covers up to 190 days in a lifetime for inpatient mental health care in a psychiatric hospital. The inpatient hospital care limit does not apply to inpatient mental services provided in a general hospital. Our plan covers 90 days for an inpatient hospital stay. Our plan also covers 60 “lifetime reserve days.” These are “extra” days that we cover. If your hospital stay is longer than 90 days, you can use these extra days. But once you have used up these extra 60 days, your inpatient hospital coverage will be limited to 90 days. Mental Health Services1 Inpatient visit ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) You pay $385 co-pay per day for days 1 through 5. You pay $0 co-pay per day for days 6 through 90. You pay $375 co-pay per day for days 1 through 5. You pay $0 co-pay per day for days 6 through 90. You pay $275 co-pay per day for days 1 through 6. You pay $0 co-pay per day for days 7 through 90. ASPIRE HEALTH PLUS (HMO-POS) In network: You pay $250 co-pay per day for days 1 through 5. You pay $0 co-pay per day for days 6 through 90. Out of network: You pay 30% co-insurance per day for days 1 through 90. Outpatient individual/group therapy visit ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) You pay 20% co-insurance . You pay $35 co-pay. You pay $15 co-pay. ASPIRE HEALTH PLUS (HMO-POS) In network: You pay $0 co-pay. Out of network: You pay 30% co-insurance.

11 Benefit notes: Our plan covers up to 100 days in a skilled nursing facility. Skilled nursing facility1 Physical therapy1 ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) You pay 20% co-insurance for each visit. You pay $25 co-pay for each visit. You pay $15 co-pay for each visit. ASPIRE HEALTH PLUS (HMO-POS) In network: You pay $0 co-pay. Out of network*: You pay 30% co-insurance. ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) You pay $0 co-pay per day for days 1 through 20. You pay $214 co-pay per day for days 21 through 100.
You pay $0 co-pay per day for days 1 through 20. You pay $184 co-pay per day for days 21 through 100. You pay $0 co-pay per day for days 1 through 20. You pay $100 co-pay per day for days 21 through 100. ASPIRE HEALTH PLUS (HMO-POS) In network: You pay $0 co-pay per day for days 1 through 20.

                   You pay $100 co-pay per day for days 21 through 100.

Out of network: You pay 30% co-insurance per day for days 1 through 100. Benefit notes: You must receive authorization from plan prior to utilization of non-emergency ambulance services. Ambulance1 ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) You pay $325 co-pay via ground transportation. You pay 20% co-insurance via air transportation.
You pay $325 co-pay via ground transportation. You pay 20% co-insurance via air transportation. You pay $325 co-pay via ground transportation. You pay 20% co-insurance via air transportation. ASPIRE HEALTH PLUS (HMO-POS) In network: You pay $325 co-pay via ground transportation. You pay 20% co-insurance via air transportation. Out of network
: You pay $325 co-pay via ground transportation. You pay 30% co-insurance via air transportation.

Aspire Health Summary of Benefits 2026 12 Benefit notes: To arrange transportation, please contact the plan 3 business days in advance to allow for proper scheduling. Benefit notes: Prior Authorization and step therapy rules may apply. Medicare Part B drugs1 Transportation1 ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) You pay $35 for Part B insulin. You pay 20% co-insurance for all other Part B drugs, including chemotherapy.
You pay $35 for Part B insulin. You pay 20% co-insurance for all other Part B drugs, including chemotherapy. You pay $35 for Part B insulin. You pay 20% co-insurance for all other Part B drugs, including chemotherapy. ASPIRE HEALTH PLUS (HMO-POS) In network: You pay $35 for Part B insulin. You pay 20% co-insurance for all other Part B drugs, including chemotherapy. Out of network*: You pay $35 for Part B insulin. You pay 30% co-insurance for all other Part B drugs, including chemotherapy. ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) You pay $0 co-pay. 6 one-way trips each year to routine in-network appointments. You pay $0 co-pay. 6 one-way trips each year to routine in-network appointments. You pay $0 co-pay. 12 one-way trips each year to routine in-network appointments. ASPIRE HEALTH PLUS (HMO-POS) In network: You pay $0 co-pay. 12 one-way trips each year to routine in-network appointments.
Out of network: Routine transportation is not covered out of network

13 Foot care (podiatry services) ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) You pay 20% of the cost for each durable medical equipment or supply. You pay 20% of the cost for each durable medical equipment or supply. You pay 20% of the cost for each durable medical equipment or supply. ASPIRE HEALTH PLUS (HMO-POS) In network: You pay 20% of the cost for each durable medical equipment or supply. Out of network: You pay 30% co-insurance. Foot exams and treatment if you have diabetes- related nerve damage and/or meet certain conditions ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) You pay $45 co-pay.
You pay $45 co-pay. You pay $25 co-pay. ASPIRE HEALTH PLUS (HMO-POS) In network: You pay $20 co-pay. Out of network
: You pay 30% co-insurance. Medical equipment/supplies1 Rehabilitation services1 Pulmonary rehab ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) You pay 20% co-insurance for each visit. You pay $15 co-pay for each visit. You pay $15 co-pay for each visit. ASPIRE HEALTH PLUS (HMO-POS) In network: You pay $0 co-pay. Out of network: You pay 30% co-insurance. Speech,
occupational, cardiac therapy visit ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) You pay 20% co-insurance for each visit. You pay $25 co-pay for each visit. You pay $15 co-pay for each visit. ASPIRE HEALTH PLUS (HMO-POS) In network: You pay $0 co-pay. Out of network
: You pay 30% co-insurance. Additional benefits

Aspire Health Summary of Benefits 2026 14 Fitness benefit Acupuncture ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) You pay $0 co-pay for the fitness benefit. Benefit includes physical fitness exclusively at the Montage Wellness Center. You pay $0 co-pay for the fitness benefit. Benefit includes physical fitness exclusively at the Montage Wellness Center. You pay $0 co-pay for the fitness benefit. Benefit includes physical fitness exclusively at the Montage Wellness Center. ASPIRE HEALTH PLUS (HMO-POS) You pay $0 co-pay for the fitness benefit. Benefit includes physical fitness exclusively at the Montage Wellness Center. Medicare-covered visit for chronic low back pain ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) You pay $0 per visit for up to 12 visits in 90 days, with no more than 20 treatments annually. You pay $0 per visit for up to 12 visits in 90 days, with no more than 20 treatments annually. You pay $0 per visit for up to 12 visits in 90 days, with no more than 20 treatments annually. ASPIRE HEALTH PLUS (HMO-POS) In network: You pay $0 per visit for up to 12 visits in 90 days, with no more than 20 treatments annually. Out of network: You pay 30% of the cost per visit for up to 12 visits in 90 days, with no more than 20 treatments annually. Routine acupuncture ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) You pay $20 per visit (for up to 4 visits every year).
You pay $20 per visit (for up to 4 visits every year). You pay $10 per visit (for up to 6 visits every year). ASPIRE HEALTH PLUS (HMO-POS) In network: You pay $0 co-pay per visit (for up to 12 visits every year). Out of network
: Routine acupuncture is not covered out of network.

15 Benefit notes: Routine chiropractic visits are limited to manual manipulation of the spine that is supportive, not corrective. This is sometimes called maintenance therapy or maintenance care. Routine chiropractic services are limited to the following codes: 98940, 98941, or 98942. Benefit notes: Diabetic monitoring supplies obtained through our Part D prescription drug benefit are limited to Abbott Diabetes Care, the maker of FreeStyle and Precision brand products. A 20% co-insurance applies to continuous glucose monitor (CGM) equipment and supplies. Chiropractic care Diabetes supplies and services1 Medicare- covered visit for manipulation of the spine to correct a subluxation (when 1 or more of the bones of your spine move out of position) ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) You pay $15 co-pay per visit. You pay $10 co-pay per visit. You pay a $10 co-pay per visit. ASPIRE HEALTH PLUS (HMO-POS) In network: You pay $0 co-pay. Out of network: You pay 30% co-insurance. Routine chiropractic visit ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) You pay a $20 co-pay per visit (for up to 4 visits every year). You pay a $20 co-pay per visit (for up to 4 visits every year). You pay $10 per visit (for up to 6 visits every year). ASPIRE HEALTH PLUS (HMO-POS) In network: You pay $0 co-pay(for up to 12 visits every year). Out of network: Routine chiropractic care is not covered out of network. Diabetes monitoring supplies, self-management training, therapeutic shoes and inserts therapeutic shoes and inserts ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) You pay 0–20% co-insurance. You pay 0–20% co-insurance. You pay 0–20% co-insurance. ASPIRE HEALTH PLUS (HMO-POS) In network: You pay 0–20% co-insurance. Out of network*: You pay 30% co-insurance.

Aspire Health Summary of Benefits 2026 16 Benefit notes: Our plan covers the costs of Medicare-covered home health services. Home health care1 Outpatient substance abuse Prosthetic devices (braces, artificial limbs, etc.)1 ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) You pay $0 co-pay. You pay $0 co-pay. You pay $0 co-pay. ASPIRE HEALTH PLUS (HMO-POS) In network: You pay $0 co-pay. Out of network: You pay 30% co-insurance. Group/individual therapy visit ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) You pay 20% co-insurance.
You pay $35 co-pay. You pay $15 co-pay. ASPIRE HEALTH PLUS (HMO-POS) In network: You pay $0 co-pay. Out of network
: You pay 30% co-insurance. Prosthetic devices and related medical supplies ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) You pay 20% co-insurance. You pay 20% co-insurance. You pay 20% co-insurance. ASPIRE HEALTH PLUS (HMO-POS) In network: You pay 20% co-insurance. Out of network*: You pay 30% co-insurance.

17 ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) You pay 20% of the cost.
You pay 20% of the cost. You pay 20% of the cost. ASPIRE HEALTH PLUS (HMO-POS) In network: You pay 20% of the cost. Out of network*: You pay 20% of the cost. ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) ASPIRE HEALTH ADVANTAGE (HMO) You pay $0 co-pay for hospice care from a Medicare-certified hospice. You may have to pay part of the cost for drugs and respite care.
You pay $0 co-pay for hospice care from a Medicare-certified hospice. You may have to pay part of the cost for drugs and respite care. You pay $0 co-pay for hospice care from a Medicare-certified hospice. You may have to pay part of the cost for drugs and respite care. ASPIRE HEALTH PLUS (HMO-POS) You pay $0 co-pay for hospice care from a Medicare-certified hospice. You may have to pay part of the cost for drugs and respite care. Renal dialysis1 Hospice

Aspire Health Summary of Benefits 2026 18 Cost-Sharing may change depending on the pharmacy you choose and when you enter another phase of the Part D benefit. For more information on the additional pharmacy-specific cost-sharing and the phases of the benefit, please call us or access our Evidence of Coverage online. STANDARD MAIL ORDER COST-SHARING Tier Three-month supply Tier 1 (Preferred Generic) $18 co-pay Tier 2 (Generic) $40 co-pay Tier 3 (Preferred Brand) $94 co-pay Tier 4 (Non-Preferred Drug) Not available Tier 5 (Specialty Tier) Not available Tier 6 (Select Care Drugs) $22 co-pay STANDARD MAIL ORDER COST-SHARING Tier Three-month supply Tier 1 (Preferred Generic) $18 co-pay Tier 2 (Generic) $40 co-pay Tier 3 (Preferred Brand) $94 co-pay Tier 4 (Non-Preferred Drug) Not available Tier 5 (Specialty Tier) Not available Tier 6 (Select Care Drugs) $22 co-pay Outpatient prescription drug benefits ASPIRE HEALTH PROTECT (HMO) ASPIRE HEALTH VALUE (HMO) STANDARD RETAIL COST-SHARING Tier One-month supply Three-month supply Tier 1 (Preferred Generic) $9 co-pay $27 co-pay Tier 2 (Generic) $20 co-pay $60 co-pay Tier 3 (Preferred Brand) $47 co-pay $141 co-pay Tier 4 (Non-Preferred Drug) 25% of the cost Not available Tier 5 (Specialty Tier) 33% of the cost Not available Tier 6 (Select Care Drugs) $11 co-pay $33 co-pay STANDARD RETAIL COST-SHARING Tier One-month supply Three-month supply Tier 1 (Preferred Generic) $9 co-pay $27 co-pay Tier 2 (Generic) $20 co-pay $60 co-pay Tier 3 (Preferred Brand) $47 co-pay $141 co-pay Tier 4 (Non-Preferred Drug) 25% of the cost Not available Tier 5 (Specialty Tier) 33% of the cost Not available Tier 6 (Select Care Drugs) $11 co-pay $33 co-pay Initial Coverage No deductible. Initial Coverage No deductible.

19 Cost-Sharing may change depending on the pharmacy you choose and when you enter another phase of the Part D benefit. For more information on the additional pharmacy-specific cost-sharing and the phases of the benefit, please call us or access our Evidence of Coverage online. STANDARD MAIL ORDER COST-SHARING Tier Three-month supply Tier 1 (Preferred Generic) $8 co-pay Tier 2 (Generic) $30 co-pay Tier 3 (Preferred Brand) $94 co-pay Tier 4 (Non-Preferred Drug) Not available Tier 5 (Specialty Tier) Not available Tier 6 (Select Care Drugs) $22 co-pay STANDARD MAIL ORDER COST-SHARING Tier Three-month supply Tier 1 (Preferred Generic) $0 co-pay Tier 2 (Generic) $20 co-pay Tier 3 (Preferred Brand) $90 co-pay Tier 4 (Non-Preferred Drug) Not available Tier 5 (Specialty Tier) Not available Tier 6 (Select Care Drugs) $22 co-pay Outpatient prescription drug benefits ASPIRE HEALTH ADVANTAGE (HMO) ASPIRE HEALTH PLUS (HMO-POS) STANDARD RETAIL COST-SHARING Tier One-month supply Three-month supply Tier 1 (Preferred Generic) $4 co-pay $12 co-pay Tier 2 (Generic) $15 co-pay $45 co-pay Tier 3 (Preferred Brand) $47 co-pay $141 co-pay Tier 4 (Non-Preferred Drug) 25% of the cost Not available Tier 5 (Specialty Tier) 33% of the cost Not available Tier 6 (Select Care Drugs) $11 co-pay $33 co-pay STANDARD RETAIL COST-SHARING Tier One-month supply Three-month supply Tier 1 (Preferred Generic) $0 co-pay $0 co-pay Tier 2 (Generic) $10 co-pay $30 co-pay Tier 3 (Preferred Brand) $45 co-pay $135 co-pay Tier 4 (Non-Preferred Drug) 25% of the cost Not available Tier 5 (Specialty Tier) 33% of the cost Not available Tier 6 (Select Care Drugs) $11 co-pay $33 co-pay Initial Coverage No deductible. Initial Coverage No deductible.

Aspire Health Summary of Benefits 2026 20 CATASTROPHIC COVERAGE: After your yearly out-of-pocket drug costs reach $2,100 in 2026, you pay nothing for covered Part D drugs. TRANSITION COVERAGE FOR NEW MEMBERS: For outpatient drugs, up to one (1) 30-day transition fills of Part D prescription medications, during the first 90 days of new membership in our plan. If you are in a Long Term Care Facility you can get up to one (1) 31-day transition fills of Part D prescription medications, during the first 90 days of new membership in our plan. Outpatient prescription drug benefits

21 Enhanced Benefits — Option A for the PROTECT, VALUE, and PLUS plans $45.00 in additional premium per month if you choose to enroll in this optional coverage. This optional supplemental benefit includes dental and vision coverage: Dental coverage is through Delta Dental™ Medicare Advantage Network for Aspire Health Plan and includes: ■ Preventive services: You pay $0 co-pay. ■ Comprehensive co-insurance: 20%–50% ■ Plan pays up to $1,000 every year Vision coverage is through VSP™ Vision Care and includes: ■ Yearly routine eye exam: $10 co-pay ■ Eyewear: $25 co-pay ■ $150 allowance for frames or contacts Optional supplemental benefits Enhanced Benefits — Option B for the PROTECT, VALUE, and PLUS plans $49.00 in additional premium per month if you choose to enroll in this optional coverage. This optional supplemental benefit includes dental, vision, hearing, additional transportation, and post discharge home-delivered meals: Dental coverage is through Delta Dental™ Medicare Advantage Network for Aspire Health Plan and includes: ■ Preventive services: You pay $0 co-pay. ■ Comprehensive co-insurance: 20%–50% ■ Plan pays up to $1,000 every year Vision coverage is through VSP™ Vision Care and includes: ■ Yearly routine eye exam: $10 co-pay ■ Eyewear: $25 co-pay ■ $150 allowance for frames or contacts Hearing coverage is through TruHearing™ and includes: ■ Yearly routine hearing exam: $20 co-pay ■ Hearing aids: $599 or $899 co-pay, one hearing aid per ear, per year Transportation includes: ■ Additional 10 one-way rides to in-network appointments: You pay $0 co-pay. Home-delivered meals includes: ■ 14 refrigerated meals, 2 meals per day for 7 days, customized to the member’s preference: You pay $0 co-pay. ■ Meal benefit must be requested within 14 days following discharge from an acute care facility admission ■ Meals for certain chronic conditions for a temporary period Plans may offer supplemental benefits in addition to Part C benefits and Part D benefits.

Aspire Health Summary of Benefits 2026 22 Enhanced Benefits — Option C for the ADVANTAGE plan $43.00 in additional premium per month if you choose to enroll in this optional coverage. This optional supplemental benefit includes dental, vision, hearing, additional transportation, and post discharge home-delivered meals: Dental coverage is through Delta Dental™ Medicare Advantage Network for Aspire Health Plan and includes: ■ Comprehensive co-insurance: 20%–50% ■ Plan pays up to $1,000 every year Vision coverage is through VSP™ Vision Care and includes: ■ Yearly routine eye exam: $10 co-pay ■ Eyewear: $25 co-pay ■ $150 allowance for frames or contacts Hearing coverage is through TruHearing™ and includes: ■ Yearly routine hearing exam: $20 co-pay ■ Hearing aids: $599 or $899 co-pay, one hearing aid per ear, per year Transportation includes: ■ Additional 10 one-way rides to in-network appointments: You pay $0 co-pay. Home-delivered meals includes: ■ 14 refrigerated meals, 2 meals per day for 7 days, customized to the member’s preference: You pay $0 co-pay. ■ Meal benefit must be requested within 14 days following discharge from an acute care facility admission ■ Meals for certain chronic conditions for a temporary period Check the Evidence of Coverage (EOC) for specific coverage information and limitations. You will have a ninety (90) day grace period from your Medicare Advantage Prescription Drug (MAPD) enrollment effective date to add the Enhanced Benefits. After the grace period ends, you may not elect the Enhanced Benefits until the next annual enrollment period.

23 Before making an enrollment decision, it is important that you fully understand our benefits and rules. If you have any questions, you can call and speak to a customer service representative at (888) 864-4611. Understanding the Benefits □ Review the full list of benefits found in the Evidence of Coverage (EOC), especially those services for which you routinely see a doctor. Visit www.aspirehealthplan.org or call (888) 864-4611 (TTY 711) to view a copy of the EOC. □ Review the provider directory (or ask your doctor) to make sure the doctors you see now are in the network. If they are not listed, it means you will likely have to select a new doctor. □ Review the pharmacy directory to make sure the pharmacy you use for any prescription medicines is in the network. If the pharmacy is not listed, you will likely have to select a new pharmacy for your prescriptions. □ Review the formulary to make sure your drugs are covered. Understanding Important Rules □ In addition to your monthly plan premium, you must continue to pay your Medicare Part B premium. This premium is normally taken out of your Social Security check each month. □ If you are currently enrolled in a Medicare Advantage plan, your current Medicare Advantage healthcare coverage will end once your new Medicare Advantage coverage starts. If you have Tricare, your coverage may be affected once your new Medicare Advantage coverage starts. Please contact Tricare for more information. If you have a Medigap plan, once your Medicare Advantage coverage starts, you may want to drop your Medigap policy because you will be paying for coverage you cannot use. □ Benefits, premiums and/or co-payments/co-insurance may change next calendar year. □ Except in emergency or urgent situations, we do not cover services by out-of-network providers (doctors who are not listed in the provider directory). □ Our Aspire Health Plus (HMO-POS) plan allows you to see out-of-network (non-contracted) providers outside of Monterey County. However, while we pay for covered services provided by a non-contracted provider, the provider must agree to treat you. Except in emergency or urgent situations, non-contracted providers may deny care. H8764MKTPreChecklist0825C Pre-enrollment checklist

Aspire Health Summary of Benefits 2026 24

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services English: ATTENTION: If you speak English, free language assistance services
are available to you. Appropriate auxiliary aids and services to provide information in accessible formats are also available free of charge. Call 855-570-1600, (TTY: 711) or
speak to your provider. Español: ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. También están disponibles de forma gratuita ayuda y servicios auxiliares apropiados para proporcionar información en formatos accesibles. Llame al 855-570-1600, (TTY: 711) o hable con su proveedor. Simplified Chinese: 中文: 注意:如果您说[中文],我们将免费为您提供语言协助服务。我 们还免费提供适当的辅助工具和服务,以无障碍格式提供信息。致电 1-855-570-1600,(文本 电话:711)或咨询您的服务提供商。 Tagalog: PAALALA: Kung nagsasalita ka ng Tagalog, magagamit mo ang mga libreng serbisyong tulong sa wika. Magagamit din nang libre ang mga naaangkop na auxiliary na tulong at serbisyo upang magbigay ng impormasyon sa mga naa-access na format. Tumawag sa 1-855-570-1600, (TTY: 711) o makipag-usap sa iyong provider. Vietnamese: Việt: LƯU Ý: Nếu bạn nói tiếng Việt, chúng tôi cung cấp miễn phí các dịch vụ hỗ trợ ngôn ngữ. Các hỗ trợ dịch vụ phù hợp để cung cấp thông tin theo các định dạng dễ tiếp cận cũng được cung cấp miễn phí. Vui lòng gọi theo số 1-855-570-1600 (Người khuyết tật: 711) hoặc trao đổi với người cung cấp dịch vụ của bạn. Korean: 한국어: 주의: [한국어]를 사용하시는 경우 무료 언어 지원 서비스를 이용하실 수 있습니다. 이용 가능한 형식으로 정보를 제공하는 적절한 보조 기구 및 서비스도 무료로 제공됩니다. 1-855-570-1600 (TTY: 711) 번으로 전화하거나 서비스 제공업체에 문의하십시오. French: Français: ATTENTION: Si vous parlez Français, des services d'assistance linguistique gratuits sont à votre disposition. Des aides et services auxiliaires appropriés pour fournir des informations dans des formats accessibles sont également disponibles gratuitement. Appelez le 1-855-570-1600, (TTY: 711) ou parlez à votre fournisseur.
Brazilian Portuguese: Português do Brasil: ATENÇÃO: Se você fala [inserir idioma], serviços gratuitos de assistência linguística estão disponíveis para você. Auxílios e serviços auxiliares apropriados para fornecer informações em formatos acessíveis também estão disponíveis gratuitamente. Ligue para 1-855-570-1600, (TTY: 711) ou fale com seu provedor.

Hindi: िहंदी : ȯान दें: यिद आप िहंदी बोलते हैं, तो आपके िलए िनःशुʋ भाषा सहायता सेवाएं उपलɩ होती हैं। सुलभ प्रारूपों में जानकारी प्रदान करने के िलए उपयुƅ सहायक साधन और सेवाएँ भी िनःशुʋ उपलɩ हैं। 1-855-570-1600, (TTY: 711) पर कॉल करें या अपने प्रदाता से बात करें।

25

: Farsi ﻓﺎر᤻ي

ﺗﻮﺟﻪ:

اឞﺮ ] وارد ﮐﺮدن زᘿﺎن[ ﺻﺤبﺖ ᥍ ﮐﻨᚗﺪ، ﺧﺪﻣﺎت ᜩﺸتﯿبﺎین زᘿﺎین راᙶگﺎن در دﺳᤫت س ﺷﻤﺎ ﻗﺮار دارد.

ﻫﻤﭽﻨنی ن کﻤﮏ ﻫﺎ و ﺧﺪﻣﺎت ᜩﺸتﯿبﺎین ﻣﻨﺎﺳﺐ ﺑﺮای اراﺋﻪ اﻃﻼﻋﺎت در ﻗﺎﻟﺐ ﻫﺎی ﻗﺎبﻞ دﺳᤫت س، بﻪ ﻃﻮر راᙶگﺎن ﻣﻮﺟﻮد ᥍ بﺎﺷﻨﺪ.

بﺎ ﺷﻤﺎرە 1-855-570-1600

)ﺗﻠﻪ ﺗﺎᙶﭗ: 711 (ﺗﻤﺎس بﮕᤫیᙕﺪ ᙶﺎ بﺎ اراﺋﻪ دﻫﻨﺪە ﺧﻮد ﺻﺤبﺖ ﮐﻨᚗﺪ.

:Arabic

اﻟﻌرﺑﯾﺔ

ﺗﻧﺑﯾﮫ:

إذا ﻛﻧت ﺗﺗﺣدث اﻟﻠﻐﺔ اﻟﻌرﺑﯾﺔ ، ﻓﺳﺗﺗوﻓر ﻟك ﺧدﻣﺎت اﻟﻣﺳﺎﻋدة اﻟﻠﻐوﯾﺔ اﻟﻣﺟﺎﻧﯾﺔ.

ﻛﻣﺎ ﺗﺗوﻓر وﺳﺎﺋل ﻣﺳﺎﻋدة وﺧدﻣﺎت ﻣﻧﺎﺳﺑﺔ ﻟﺗوﻓﯾر اﻟﻣﻌﻠوﻣﺎت ﺑﺗﻧﺳﯾﻘﺎت ﯾﻣﻛن اﻟوﺻول إﻟﯾﮭﺎ ﻣﺟﺎﻧًﺎ.

اﺗﺻل ﻋﻠﻰ اﻟرق1-855-570-1600, (TTY: 711)

."أو ﺗﺣدث إﻟﻰ ﻣﻘدم اﻟﺧدﻣﺔ

Armenian: ՀԱՅԵՐԵՆ: ՈՒՇԱԴՐՈՒԹՅՈՒՆ. Եթե խոսում եք հայերեն, Դուք կարող եք օգտվել լեզվական աջակցության անվճար ծառայություններից: Մատչելի ձևաչափերով տեղեկատվություն տրամադրելու համապատասխան օժանդակ միջոցներն ու ծառայությունները նույնպես տրամադրվում են անվճար: Զանգահարեք 1-855-570-1600, (TTY: 711) հեռախոսահամարով (TTY: 711) կամ խոսեք Ձեր մատակարարի հետ: Russian: РУССКИЙ: ВНИМАНИЕ: Если вы говорите на русский, вам доступны бесплатные услуги языковой поддержки. Соответствующие вспомогательные средства и услуги по предоставлению информации в доступных форматах также предоставляются бесплатно. Позвоните по телефону 1-855-570-1600, (TTY: 711) или обратитесь к своему поставщику услуг. Punjabi: ਪੰਜਾਬੀ: ਿਧਆਨ ਿਦਓ: ਜੇ ਤੁਸੀਂ ਪੰਜਾਬੀ ਬੋਲਦੇ ਹੋ, ਤਾਂ ਤੁਹਾਡੇ ਲਈ ਮੁਫ਼ਤ ਭਾਸ਼ਾ ਸਹਾਇਤਾ ਸੇਵਾਵਾਂ ਉਪਲਬਧ ਹੁੰਦੀਆਂ ਹਨ। ਪਹੁੰਚਯੋਗ ਫਾਰਮੈਟਾਂ ਿਵੱਚ ਜਾਣਕਾਰੀ ਪ୥ਦਾਨ ਕਰਨ ਲਈ ਢੁਕਵੇਂ ਪੂਰਕ ਸਹਾਇਕ ਸਾਧਨ ਅਤੇ ਸੇਵਾਵਾਂ ਵੀ ਮੁਫ਼ਤ ਿਵੱਚ ਉਪਲਬਧ ਹੁੰਦੀਆਂ ਹਨ। 1-855-570-1600, (TTY: 711) ‘ਤੇ ਕਾਲ ਕਰੋ ਜਾਂ ਆਪਣੇ ਪ୥ਦਾਤਾ ਨਾਲ ਗੱਲ ਕਰੋ। Japanese: 日本語: 注:日本語を話される場合、無料の言語支援サービスをご利 用いただけます。アクセシブル(誰もが利用できるよう配慮された)な形式で情報を 提供するための適切な補助支援やサービスも無料でご利用いただけます。1-855- 570-1600, (TTY: 711) までお電話ください。または、ご利用の事業者にご相談ください。 German: Deutsch: ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlose Sprachassistenzdienste zur Verfügung. Entsprechende Hilfsmittel und Dienste zur Bereitstellung von Informationen in barrierefreien Formaten stehen ebenfalls kostenlos zur Verfügung. Rufen Sie 1-855-570-1600, (TTY: 711) an oder sprechen Sie mit Ihrem Provider. H8764NOA0825_C

Aspire Health Summary of Benefits 2026 26 Aspire Health is a Medicare Advantage HMO plan sponsor with a Medicare contract. Enrollment in Aspire Health depends on contract renewal. Other providers are available in our network. The benefit information provided is a summary of what we cover and what you pay. It does not list every service that we cover or list every limitation or exclusion. To get a complete list of services we cover, please request the “Evidence of Coverage.” You can see the Evidence of Coverage on our website at www.aspirehealthplan.org or by calling Member Services (855) 570-1600 (TTY:711) to request a copy. This document is available in other formats such as large print. We are open 8 a.m.–8 p.m. PT Monday through Friday from April 1 through September 30 and 8 a.m.–8 p.m. PT seven days a week from October 1 through March 31 (except certain holidays). To join Aspire Health , you must be entitled to Medicare Part A, be enrolled in Medicare Part B, and live in our service area. Our service area is Monterey County, California. Aspire Health has a network of doctors, hospitals, pharmacies, and other providers. If you use the providers that are not in our network, the plan may not pay for these services. For coverage and costs of Original Medicare, look in your current “Medicare & You” handbook. View it online at http://www.medicare.gov or get a copy by calling 1-800-MEDICARE (1-800-633-4227), 24 hours a day, 7 days a week. TTY users should call 1-877-486-2048.

Your Medicare Advantage. All-in-one plans. Exceptional service. Great value. PRESENTED BY Member Services (855) 570-1600 (TTY:711) 10 Ragsdale Drive, Suite 101 | Monterey, CA 93940 www.aspirehealthplan.org

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