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800.334.1330 254.773.1330 fax 254.774.7652 4912 Midway Drive Post Office Box 6130 Temple, TX 765036130 www.carehealthplan.com Celebrating More Than 140 Years of ExcellenceA. PLEASE INDICATE WHICH PLAN YOU WISH TO ENROLL IN PLAN YEAR 2024 / 2025: Plan #4000 Supplement to Medicare Parts A & B with Navitus MedicareRx Prescription Drug Plan ** $325.00 monthly ($975.00 quarterly). Plan #4100 Supplement to Medicare Parts A & B NO Prescription Drug Benefit $174.00 monthly ($522.00 quarterly)Please
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