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Summary of Benefits

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2010 Summary of Benefits (Current as of 10/01/2009)

HIP VIP(HMO), HIP VIP PLUS(HMO) and HIP VIP RX Carve out(HMO)
NYC
Nassau/Suffolk
Westchester
HIP VIP Dual Eligible (HMO) and HIP MA Advantage (HMO)
NYC/Nassau/Suffolk/ Westchester
HIP Part D New York Standard and HIP Part D New York Enhanced
New York State

H3330_121059r – 10/06/09
S5741_121068r – 10/06/09