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This material is being issued to Medicare Advantage members by Highmark Blue Shield on behalf of its affiliated Blue companies, which are independent licensees of the Blue Cross Blue Shield Association. Highmark Inc. d/b/a Highmark Blue Shield and/or certain of its affiliated Blue companies serve Medicare Advantage Blue Shield members in 21 counties in central Pennsylvania and 13 counties of northeastern Pennsylvania. Highmark Inc. and/ or certain of its affiliated Blue companies also serve Medicare Advantage Blue Cross Blue Shield members in 29 counties in western Pennsylvania. All references to “Highmark” in this material make references to Highmark Inc. d/b/a Highmark Blue Shield and/or to one or more of its affiliated Blue companies.

Health benefits or health benefit administration may be provided by or through Highmark Choice Company or Highmark Senior Health Company. Highmark Blue Shield provides certain administrative communications for these companies. Highmark Blue Shield, Highmark Choice Company and Highmark Senior Health Company are independent licensees of the Blue Cross Blue Shield Association. All references to “Highmark” in this document are references to the Highmark company that is providing the member’s health benefits or health benefit administration.