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Page numbers referenced within this brochure apply only to the printed brochure

TakeCare Insurance Company, Inc.

www.takecareasia.com
Customer Service: 671-647-3526, 877-484-2411 (toll free), or customerservice@takecareasia.com

2023



IMPORTANT:
  • Rates
  • Changes for 2023
  • Summary of Benefits
Health Maintenance Organization (High and Standard) Options, and High Deductible Health Plan (HDHP) Option

This plan’s health coverage qualifies as minimum essential coverage and meets the minimum value standard for the benefits it provides. See page 6 for details. This plan is accredited. See page 11.

Serving: The Island of Guam, the Commonwealth of the Northern Mariana Islands, and the Republic of Belau (Palau)

Enrollment in this plan is limited. You must live or work in our geographic service area to enroll. See pages 13 & 14 for requirements.

 

 

 

 

 

Enrollment codes for this Plan: 
   JK1 High Option - Self Only
   JK3 High Option - Self Plus One
   JK2 High Option - Self and Family
   JK4 Standard Option - Self Only
   JK6 Standard Option - Self Plus One
   JK5 Standard Option - Self and Family
   KX1 High Deductible Health Plan (HDHP) - Self Only
   KX3 High Deductible Health Plan (HDHP) - Self Plus One
   KX2 High Deductible Health Plan (HDHP) - Self and Family

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