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Co
mp
any
Nam
e
Ad
dre
ss
Tele
ph
on
eB
usi
nes
s H
ou
rs
ww
w.S
AM
PL
E.c
om
DIS
CL
OS
UR
ES
Th
is p
lan
is N
OT
insu
ran
ce.
Th
e p
lan
is
no
t in
sura
nce
cov
erag
e an
d d
oes
n
ot
mee
t th
e m
inim
um
cre
dit
able
cov
erag
e re
qu
irem
ents
un
der
th
e A
ffo
rdab
le C
are
Act
o
r M
assa
chu
sett
s M
.G.L
. c.
111
M a
nd
95
6 C
MR
5
.00
. T
his
pla
n p
rovi
des
dis
cou
nts
at
cert
ain
h
ealt
hca
re
pro
vid
ers
for
med
ical
se
rvic
es.
Th
is p
lan
do
es n
ot
mak
e pa
ymen
ts d
irec
tly
to t
he
pro
vid
ers
of m
edic
al s
ervi
ces.
Th
e p
lan
m
emb
er i
s o
blig
ated
to
pay
fo
r al
l h
ealt
hca
re
serv
ices
bu
t w
ill r
ecei
ve a
dis
cou
nt
fro
m t
ho
se
hea
lth
care
p
rovi
der
s w
ho
h
ave
con
trac
ted
w
ith
th
e d
isco
un
t p
lan
o
rgan
izat
ion
. T
his
d
isco
un
t ca
rd
pro
gra
m
con
tain
s a
30
d
ay
can
cella
tio
n
pe
rio
d.T
he
ran
ge
of
dis
cou
nts
fo
r m
edic
al
or
anci
llary
se
rvic
es
pro
vid
ed
un
der
th
e p
lan
will
var
y d
epen
din
g o
n t
he
typ
e of
pro
vid
er a
nd
med
ical
or
anci
llary
ser
vice
re
ceiv
ed.
Mem
ber
sh
all
rece
ive
a fu
ll re
fun
d
of
mem
ber
ship
fe
es,
excl
ud
ing
re
gis
trat
ion
fe
e, if
mem
ber
ship
is c
ance
lled
wit
hin
th
e fi
rst
30 d
ays
afte
r th
e ef
fect
ive
dat
e. A
R a
nd
TN
re
sid
ents
: A
ref
un
d o
f al
l fe
es w
ill b
e is
sued
if
mem
ber
ship
is
can
celle
d w
ith
in t
he fi
rst
30
day
s. M
D R
esid
ents
: T
he
mem
ber
ship
fee
an
d
on
e-ti
me
reg
istr
atio
n f
ee (
min
us
$5
.00
) w
ill b
e re
fun
ded
if
can
celle
d w
ith
in t
he fi
rst
30 d
ays
and
up
on
ret
urn
of
the
dis
cou
nt
card
. Dis
cou
nt
Med
ical
P
lan
O
rgan
izat
ion
: N
ew
Ben
efi t
s,
Ltd
., A
ttn
: C
om
plia
nce
D
epar
tmen
t,
PO
B
ox
67
130
9, D
alla
s, T
X 7
536
7-13
09
, 80
0-8
00
-76
16.
Web
site
to
o
bta
in
part
icip
atin
g
pro
vid
ers:
M
yMem
ber
Po
rtal
.co
m.
Th
is p
lan
is n
ot
avai
lab
le in
VT
an
d W
A.
03/
13 ©
2013
new
ben
efi t
s
and
mo
re
DIA
BE
TIC
MA
NA
GE
ME
NT
Dia
bet
es c
an b
e h
ard
to
man
age–
big
sav
ing
s o
n s
up
plie
s ca
n m
ake
life
easi
er.
HE
AR
ING
AID
SW
ant
to s
ave
big
on
hea
rin
g a
ids?
Yo
u’ll
sav
e 15
% t
o 3
5%
at
ret
ail l
oca
tio
ns
nat
ionw
ide.
VIT
AM
INS
Ever
yon
e h
as d
iffe
ren
t h
ealt
h g
oal
s, a
nd
Vit
aco
st h
as
the
pro
du
cts
to h
elp
yo
u r
each
th
em. F
ind
th
e b
est
pri
ces
on
line
for
the
mo
st t
rust
ed b
ran
ds
of v
itam
ins,
su
pp
lem
ents
, hea
lth
fo
od
s, s
po
rts
nu
trit
ion
an
d w
elln
ess
pro
du
cts.
Tak
e an
ad
dit
ion
al 1
0%
off
alr
ead
y lo
w p
rice
s o
n
pro
du
cts
for
you
, yo
ur
fam
ily a
nd
eve
n y
ou
r p
ets.
LA
B T
ES
TIN
GK
now
yo
ur
nu
mb
ers!
Hel
p m
on
ito
r yo
ur
hea
lth
wit
h 1
0%
to
8
0%
off
typ
ical
co
sts
of r
ou
tin
e la
b w
ork
.
MR
I &
CT
SC
AN
SS
ave
50
% t
o 7
5%
on
usu
al c
har
ges
fo
r M
RI,
CT
Sca
ns
and
mo
re a
t th
ou
san
ds
of c
red
enti
aled
rad
iolo
gy
cen
ters
nat
ionw
ide.
Sav
ing
s m
ay v
ary
base
d o
n g
eog
rap
hic
loca
tio
n, p
rovi
der
an
d p
roce
du
re
per
form
ed. A
vaila
ble
ser
vice
s m
ay v
ary
by p
rovi
der
.
HO
SP
ITA
L/U
RG
EN
T C
AR
E D
ISC
OU
NT
S$
69
Offi
ce
Vis
its.
20%
dis
cou
nt
on
add
itio
nal
ser
vice
s, s
uch
as
labs
, x-r
ays,
la
cera
tio
ns,
su
ture
s, a
nd
imm
un
izat
ion
s.$
20 S
port
s/S
cho
ol P
hysi
cals
.$
15 F
lu S
ho
ts.
PH
AR
MA
CY
Do
n’t
pay
full
pri
ce! S
ave
10%
to
85
% o
n m
ost
p
resc
rip
tio
ns
at o
ver
60
,00
0 p
har
mac
ies.
Ju
st p
rese
nt
you
r ca
rd t
o s
ave
an a
vera
ge
of 4
2%
at
loca
tio
ns
nat
ionw
ide.
Co
mpa
re y
ou
r p
resc
rip
tio
n p
rice
s an
d s
ee f
or
you
rsel
f at
RxP
rice
Qu
ote
s.co
m.
DE
NTA
LS
mile
bri
gh
ter
wit
h b
ig s
avin
gs
on
ser
vice
s at
ove
r 13
2,0
00
* d
enta
l pra
ctic
e lo
cati
on
s n
atio
nwid
e. In
mo
st
inst
ance
s, s
ave
15%
to
50
% p
er v
isit
** o
n s
ervi
ces
fro
m
gen
eral
den
tist
ry t
o s
pec
ial p
roce
du
res.
Use
yo
ur
card
ov
er a
nd
ove
r ag
ain
to
kee
p y
ou
r te
eth
spa
rklin
g c
lean
!
*As
of J
une
20
13.
**A
ctua
l cos
ts a
nd s
avin
gs v
ary
by p
rovi
der,
ser
vice
and
geo
grap
hica
l are
a.
VIS
ION
You
r ey
es a
re t
he
win
dow
s to
yo
ur
hea
lth
. Now
yo
u a
nd
yo
ur
fam
ily c
an s
ee b
ette
r sa
vin
gs
at o
ver
12,0
00
vis
ion
ce
nte
rs n
atio
nwid
e, in
clu
din
g n
atio
nal
ch
ain
s an
d lo
cal
reta
ilers
. Yo
u s
ave
10%
to
60
% o
n g
lass
es, c
on
tact
s, la
ser
surg
ery,
exa
ms
and
eve
n d
esig
ner
eye
wea
r.
Wit
h e
very
day
exp
en
ses
con
stan
tly
in
crea
sin
g a
nd
hig
he
r o
ut-
of-
po
cket
me
dic
al c
ost
s,
how
can
a f
amily
mak
e e
nd
s m
eet
?
En
joy
sav
ing
s o
n h
ealt
hca
re o
r ev
ery
day
ex
pe
nse
s fo
r yo
u a
nd
yo
ur
imm
edia
te f
amily
o
n o
ne
conv
enie
nt
card
. Th
is is
no
t in
sura
nce
, b
ut
a w
ay t
o s
ave
on
yo
ur
ou
t-of
-po
cket
ex
pen
ses.
It’s
qu
ick
and
eas
y to
loca
te p
arti
cipa
tin
g
pro
vid
ers
in y
ou
r ar
ea b
y p
ho
ne
or
on
line.
S
imp
ly p
rese
nt
you
r ca
rd a
t p
rovi
der
loca
tio
ns
to r
ecei
ve im
med
iate
sav
ing
s.
We
gu
aran
tee
yo
u w
Ill b
e 1
00
% s
atisfi
ed
. If
fo
r an
y re
aso
n y
ou
are
no
t co
mp
lete
ly
sati
sfi e
d w
ith
yo
ur
mem
ber
ship
, yo
u c
an b
e re
fun
ded
wit
hin
30
day
s.
Sig
n u
p f
or
aD
isco
un
t M
ed
ical
Car
d
Save
20%
on
this
vis
it
Ask
th
e f
ron
t d
esk
for
mo
re
info
rmat
ion
ab
ou
t h
ow t
o
get
sta
rte
d.
