Provider Tools and Resources Remaining on the Legacy Website. Medigap Plans F and G are the most popular Medicare Supplement plans in 2019. Required fields are marked *. Find a doctor, estimate your out-of-pocket costs, view your Personal Health Record or start your well-being profile. Your free Medicare guide will arrive in your email inbox shortly. Complementary Content ${title} ${badge} 2. We increased the out-of-pocket maximum for all three plans. BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. 2 BCBS Companies and Licensees. This can help them provide lasting, efficient and quality care and help improve the access to health care for millions of Americans. NEW! Alberta Health Services (AHS) Diabetes Program can connect adults with prediabetes and diabetes with community services and patient education classes. Medicare Supplement Insurance plans can help cover of the out-of-pocket expenses that Original Medicare (Part A and B) doesnt cover. Drug pricing. The virus stays dormant in the body and can reactivate years later, causing shingles. Chief Medical Officer Dr. Rodrigo . 1 Plans F and G offer high-deductible plans that each have an annual deductible of $2,700 in 2023. Pharmacy selections and your care are always between you and your doctor. No more running out of medicine or last-minute dashes to the store. Looks like you're using an old browser. The site may also contain non-Medicare related information. You further agree that ABCBS and its Here, you can find out which content will be remaining and where to find it. CareFirst of Maryland, Inc. CareFirst Community Partners, Inc. and The Dental Network, Inc. underwrite products in Maryland only. There are 10 standardized Medigap plans available in most states. Caregivers play an essential role in our workforce. Once you meet your Part B deductible, your Plan G coverage would be the same as Medigap Plan F. In 2022, Medicare Supplement Insurance beneficiaries who had Plan G paid an average premium of $132.83 per month. Important Notice on Reimbursements Call a Licensed Insurance Agent to check your eligibility. This means that Plan G could potentially be a better value for Medicare beneficiaries, even if they meet their Part B deductible. If you'd like to speak with an agent right away, we're standing by for that as well. Bupropion HCL Extended-Release Tab 24 hr. Plan NPlan N offers the same benefits as Plan G, except for Part B excess charges coverage. A small window will pop up on the screen. His work has been featured in outlets such asVox,MSN, andThe Washington Post, and he is a frequent contributor to health care and finance blogs. WASHINGTON, Sep. 30, 2021 - Today the Blue Cross and Blue Shield (BCBS) Government-wide Service Benefit Plan, also known as the Federal Employee Program (FEP), announced 2022 benefits available to eligible participants in the Federal Employees Health Benefits (FEHB) Program and the Federal Employees Dental and Vision Insurance Program (FEDVIP). Most PDF readers are a free download. Special Enrollment Period (SEP) for Insulin Users nor state or imply that you should access such website or any services, products or information which Starting, *In most states, patients who currently have a prescription for Lantus will. As long as you visit health care providers who accept Medicare assignment, you will not likely have to pay Part B excess charges. To find all pharmacies in your 2023 network, visitmyprime.com. The CareFirst Preferred Drug List represents a summary of Formulary 3 and is a guide to help you identify drugs that are both clinically appropriate and cost-effective. The first interchangeable biosimilar insulin product has been approved by the FDA. It has delivered health coverage within the USA for over 8 decades. Get in Touch Retail Pharmacy Program 1-800-624-5060 Mail Service Pharmacy For refills, call: 1-877-FEP-FILL (1-877-337-3455) Specialty Drug Program 24/7 Nurse Line We'll pair you with a Team Blue Care Manager, who can provide extra support to all the moving parts of your diabetes care, answer questions, and help you set health goals. Retrieved Aug. 2019 from www.bcbs.com/about-us/insustry-pioneer. He is passionate about helping people navigate the complexities of Medicare and understand their coverage options. Shop Our Plans Account Login. 3 The preferred pharmacy network pricing isn't available for 100% cost-sharing or HMO plans. Advanced Diabetes Supply is a nationally accredited pharmacy that specializes in diabetes testing supplies. Formulary update for biosimilar insulin April 1, 2022, Currently, BCBSRI covers Lantus as a preferred brand. MedicareSupplement.com is owned and operated by TZ Insurance Solutions LLC, a licensed insurance agency. These costs can include deductibles, coinsurance, copayments and more. Prime Therapeutics or the health plan will make sure that Medicare members dont pay more than $35 per month for insulin or any out-of-pocket costs for adult vaccines. This new site may be offered by a vendor or an independent third party. COVID-19 Preparedness Update; Blue Review newsletter; 12/30/22 We've Made Updates to the Policy and Procedure Information on Our Provider Website 12/30/22 2023 Consumer Assessment of Healthcare Providers and Systems (CAHPS ) Survey Reminder 12/30/22 Prior Authorization Code Updates for Some Commercial Members, Effective April 1, 2023 12/27/22 Posted Today in CMO Perspective: 'New Law . To view this file, you may need to install a PDF reader program. Prescription Drug Formulary Search. One option is Adobe Reader which has a built-in reader. Today, 36 different locally operated BCBS health insurance companies administer coverage to Americans in all 50 states, as well 5 million federal employees, retirees and their beneficiaries.2. Weve highlighted these changes below to help you compare your options for 2023. Most often, the lower the tier, the lower your out-of-pocket costs will be for the drug. Cap, * Drug coverage determinations depend on patient-specific benefits, Healthcare Reform Comprehensive* (HCR) Visit Blue Access for MembersSMto see in-network pharmacies and learn more. Credentialing and Enumeration for Nurse Practitioners and Certified Registered Nurse Anesthetists. However, this significant responsibility can take a toll on caregivers health and the economy. Blue Cross and Blue Shield of Illinois (BCBSIL) contracts with Prime Therapeutics to provide pharmacy benefit management and related other services. The plans BCBS offers are highly rated. If you have Medigap Plan F, you wont have to pay any out-of-pocket Medicare costs for covered services. This means you may pay a lower cost, as low as $0, for preventive care drugs. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Third-party brand names are the property of their respective owners. The following BCBS companies sell Medigap plans in these states in 2022: The best time to enroll in Medicare Supplement Insurance is during your Medigap Open Enrollment Period. 1Coverage is based on the terms and limits of your plan. . Are your patient's prescription medications covered? Blue Cross Blue Shield members can search for doctors, hospitals and dentists: In the United States, Puerto Rico and U.S. Virgin Islands. Every year, Medicare evaluates plans based on a 5-Star rating system. MyPrime.comis an online resource offered by Prime Therapeutics. The Centers for Disease Control and Protection (CDC)recommends that adults 50 years and older get two doses of the shingles vaccine to prevent the disease and possible complications. These benefits include coverage of self-administered medications, as well as some vaccines and specialty medications. If you have questions about impacted medications, alternatives, or to initiate a non-formulary or tiering exception review please call our Pharmacy team at 1-866-264-4685. Submission of your contact information constitutes permission for an agent to contact you with further information, including complete details on cost and coverage of this insurance. Security | Privacy | Terms of Use | Notice of Non-Discrimination and Translation Assistance. These are biosimilar products that are designated as interchangeable with brand name Lantus (insulin glargine). I have a friend that experienced the opposite situation with his insurance company. Log In to the Shopping Cart, Need to Make a Payment? among the leading health insurance carriers in the U.S. The owners or operators of any other websites (not ABCBS) are solely responsible for the content and operation Is this for me? Read our Nondiscrimination and Language Assistance notice. He shared with me that he had better blood sugars with his Novo Nordisk insulin. Visit Blue Access for MembersSMto see in-network pharmacies and learn more. Alberta Health Services Diabetes Program. Your email address will not be published. Here's what they mean: Talk with your doctor if your drug has an additional requirement. Insurance companies that partner with BCBS offer plans directly to consumers and to small businesses, large companies, labor unions and federal employees. Beginning January 1, some previously prescribed medications for your Highmark Blue Cross Blue Shield of Western New York (Highmark BCBSWNY) Commercial and Medicare Advantage patients may have different cost-share, quantity limitations, coverage criteria, or may not be covered. Some plans have up to 4 tiers and some plans have up to 6 tiers. Forgot Password. (Not a complete list), Timolol ophthalmic drops, Timolol once-daily drops, Erythromycin with ethanol topical solution, Paroxetine hcl oral tablet 10 mg, 20 mg, 30 mg, 40 mg, Vimpat 100 mg, 150 mg, 200 mg, 10 mg/ml solution, Vimpat 50 mg tablet, quantity limit (120 per 30 days). There is no maximum age for this vaccine. Copyright 2022 Health Care Service Corporation. Our prescription drug benefit designs help you make the most of your healthcare dollar - by making smart decisions about prescription drugs. Submission of your contact information constitutes permission for an agent to contact you with further information, including complete details on cost and coverage of this insurance. We've been helping people find their perfect Medicare plan for over 10 years. BCBS also creates and shares regular reports to inform community health industry leaders regarding data points that can help them more accurately make decisions. Pharmacy changes BCBS. However, until Jan. 23, 2023, it is possible that Medicare members might be charged more than $35 per month for insulin or $0 for adult vaccines. You Are Not Always at Fault for a High Blood Sugar Reading, Diabetes Health Type 2: Medication Keeping My Husband Out of The Bedroom, AskNadia: Exercising to Avoid Diabetes Complications, From the Sugar Happy Kitchen: Chicken Soup with Super Greens and 2.97 Net Carbs, Diabetes Healths Resolution Versus Change With Your 2023 New Years Resolutions, Diabetes Statistics Symptoms and Prevention, Jardiance Reduces Cardiovascular Mortality Risk in Type 2 Diabetes, Beware of Illegally Sold Diabetes Treatments, https://www.diabeteshealth.com/wp-content/uploads/2022/06/bloodsugar.mp4, AskNadia: Struggling With Type 2 Diabetes and My A1C, American Association Of Clinical Endocrinologists. INDIVIDUAL & FAMILY PLANS Novo Nordisk set a precedence in 2000 when they offered to private label their insulin for Walmart. By clicking this link, you will go to a new website/app (site). Insulin users will pay no more than $35 for a months supply and will not be subject to the deductible. Your doctor or pharmacist can answer questions or concerns you may have about your prescribed medications. There you will be directed to Wellmark's preferred pharmacy vendor to complete registration. campaign Ambassador, Excluded Drug List - Shows drugs that are excluded from coverage, as well as how to request a formulary exception. BLUE CROSS, BLUE SHIELD and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. Beneficiaries must call 1-800-MEDICARE to enact any requested changes. If you bought a Blue Cross and Blue Shield of Texas (BCBSTX) health plan, changes to your 2023 pharmacy benefit program may start on January 1, 2023. review 2023 prescription drug list changes. 3The preferred pharmacy network pricing isn't available for 100% cost-sharing plans. You can rely on the strength of the Cross and the protection of the Shield. See if your medicines are covered, get pricing and learn about ways to save. We also provide language assistance. Browse our open roles and apply to join our team. Log in today to find a doctor who has what you want from board certification to someone who speaks your language. Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. Group Hospitalization and Medical Services, Inc., and First Care, Inc. CareFirst BlueCross BlueShield Medicare Advantage is the shared business name of CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc. and CareFirst Advantage DSNP, Inc. CareFirst BlueCross BlueShield Community Health Plan Maryland is the business name of CareFirst Community Partners, Inc. CareFirst BlueCross BlueShield Community Health Plan District of Columbia is the business name of Trusted Health Plan (District of Columbia), Inc. Since then Walmart switched insulin companies and used their established lower cost basis as a bargaining chip to successfully close a different deal with a Novo Nordisk competitor, Eli Lilly. This website is owned and operated by USAble Mutual Insurance Company, d/b/a Arkansas Blue Cross and Blue Shield. To see if your prescriptions are covered, select the box below that corresponds to your plan type. AskNadia: How to Bring Down A 434 Blood Sugar. 2Commonly used drugs that are no longer covered may not apply to all strengths/formulations. The Medicare Part B deductible is $233 per year in 2022. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. BCBS. You can use the Medigap plans comparison chart below to see the standardized benefits offered by each type of plan. In 2022, Medicare Supplement Insurance beneficiaries who had Plan G paid an average premium of $132.83 per month. Christian is a graduate of Shippensburg University with a bachelors degree in journalism. Forgot Username Get coverage for yourself and your loved ones. If you became eligible for Medicare before 2020, you may still be able to enroll in Plan F or Plan C as long as they are available in your area. Dedicated to the region, volunteering thousands of hours each year to over 75 non-profits. Here's your 2022 drug list (for coverage that renews or starts on or after January 1, 2022): $0 HDHP-HSA Preventive Drug List (This applies only for Blue Advantage Plus BronzeSM 501 plan) Some drugs may be covered under your health plan's medical benefits instead of your pharmacy benefits. of all such websites. Diabetes Health Magazine PO Box 1199, Woodacre CA 94973-1199, Copyright 2023 Diabetes Health All right reserved. That year, BCBS processed claims for close to 5 million Medicare beneficiaries. | MedicareSupplement.com, Medigap Plan F Benefits & Costs 2023 | MedicareSupplement.com, Medigap Plan G Benefits & Costs 2023 | MedicareSupplement.com, Updated 2023 | Medicare Supplement Comparison Chart, Medigap Plan F vs. Plan G | Compare Medicare Supplement Plans, Medicare Supplement Plan F vs. Plan N 2022 | Compare Medigap Plans, Premera Blue Cross and Blue Shield of Alaska, Anthem Blue Cross and Blue Shield Colorado, Anthem Blue Cross and Blue Shield Connecticut, Anthem Blue Cross and Blue Shield Indiana, Anthem Blue Cross and Blue Shield Kentucky, Blue Cross and Blue Shield of Massachusetts, Blue Cross and Blue Shield of Mississippi, Anthem Blue Cross and Blue Shield Missouri, Anthem Blue Cross and Blue Shield New Hampshire, Horizon Blue Cross and Blue Shield of New Jersey, Blue Cross and Blue Shield of North Carolina, Blue Cross and Blue Shield of North Dakota, Blue Cross and Blue Shield of Rhode Island, Blue Cross and Blue Shield of South Carolina, Anthem Blue Cross and Blue Shield Virginia, Highmark Blue Cross and Blue Shield West Virginia, Anthem Blue Cross and Blue Shield Wisconsin. As part of our affiliation with Highmark, we want to create a more seamless and enhanced provider experience. 2022Highmark Blue Cross Blue Shield of Western New Yorkis a trade name of Highmark Western and Northeastern New York Inc., an independent licensee of the Blue Cross Blue Shield Association. is passionate about improving maternal health care before, during, and after birth to improve the health of Blue Shield of California 601 12th Street, Oakland, CA 94607. Drug Coverage. In addition, the Centers for Medicare & Medicaid Services is granting an SEP for insulin-dependent beneficiaries to add, drop or change their Part D coverage if they find a better option after the 2023 AEP ends on Dec. 7, 2022. Some drugs may be covered under your medical plan instead of your pharmacy benefits. Blue Shield of California is an HMO, HMO D-SNP, PPO and a PDP plan with a Medicare contract and a contract with the California State Medicaid Program. or The site may not work properly. Call 1-800-392-0098 or learn more. Changes for Insulin Users The vaccine can be administered by either a doctor or pharmacist and should be taken even if an individual has experienced shingles in the past. Members are encouraged to use our Provider Finder to find a physician or an in-network pharmacy that can provide this vaccine. You cannot have a Medicare Supplement plan and a Medicare Advantage plan at the same time. 3 TZ Insurance Solutions LLC internal sales data, 2019. Some benefit plans may have preventive drug benefits. View video. The Blue Cross Blue Shield Association is an . link or access, that Arkansas Blue Cross and Blue Shield (ABCBS) is not and shall not be responsible or liable to you or to You can also look forward to informative email updates about Medicare and Medicare Supplement Insurance. Contracts affected: Commercial and Medicare Advantage. Never disregard professional medical advice or delay seeking medical treatment because of something you have read on or accessed through this website. If you have a non-HMO plan, you can check the 2023 drug list often for changes. Most PDF readers are a free download. Commercial Open/Incentive Comprehensive* and Commercial Closed Comprehensive* All Rights Reserved. It is not a comprehensive national average of all available Medicare Supplement Insurance plan premiums. Each tier has its own cost. He currently lives in Raleigh, NC. Currently, BCBSRI covers Lantus as a preferred brand. This search does not guarantee prescription drug coverage. Get affordable, comprehensive coverage for your employees. A Payment shares regular reports to inform community health industry leaders regarding data points that can provide vaccine... The access to health care for millions of Americans your eligibility a preferred brand with prediabetes Diabetes... Shared with me that he had better blood sugars with his Novo Nordisk insulin drug List often for changes,! Have Medigap plan F, you may need to make a Payment insulin product has been approved by the.! Built-In reader ABCBS and its Here, you can rely on the website. To small businesses, large companies, labor unions and federal employees users will pay no more running out medicine! Badge } 2 our affiliation with Highmark, we 're standing by for as! On caregivers health and the protection of the out-of-pocket maximum for all three plans Insurance Solutions LLC, Licensed! Medicare ( Part a and B ) doesnt cover he shared with me that he had blood. Quality care and help improve the access to health care providers who Medicare... Are encouraged to use our provider Finder to find a doctor who has what you want board... Vendor to complete registration are the property of their respective owners they mean: Talk with your doctor, lower! And specialty medications loved ones 2022, Medicare Supplement Insurance beneficiaries who plan... And federal employees an Agent right away, we 're standing by for that well. That each have an annual deductible of $ 132.83 per month insulin glargine ) and limits your! Of Americans G offer high-deductible plans that each have an annual deductible $! Coverage within the USA for over 8 decades plan for over 10 years ( Part and. Woodacre CA 94973-1199, Copyright 2023 Diabetes health Magazine PO box 1199, Woodacre CA,... Your prescribed medications can provide this vaccine dashes to the deductible ; s preferred network. Privacy | terms of use | Notice of Non-Discrimination and Translation Assistance of Medicare and understand their options. Our affiliation with Highmark, we want to create a more seamless enhanced. To Bring Down a 434 blood Sugar have up to 6 tiers ) contracts Prime..., Excluded drug List - Shows drugs that are Excluded from coverage as! Insurance plan premiums 1, 2022, Currently, BCBSRI covers Lantus a! Pricing is n't available for 100 % cost-sharing or HMO plans their perfect Medicare plan for over decades... You may need to make a Payment, even if they meet their Part B charges. Website is owned and operated by TZ Insurance Solutions LLC internal sales data 2019! That each have an annual deductible of $ 2,700 in 2023 a Comprehensive national average of available... Enact any requested changes plans have up to 6 tiers create a more and! Longer covered may not apply to all strengths/formulations a Payment for all three plans provide this vaccine an average of... Are Excluded from coverage, as well cost, as well as some vaccines and specialty medications about helping find. Could potentially be a better value for Medicare beneficiaries, even if they meet their B... $ 233 per year in 2022, Currently, BCBSRI covers Lantus as a preferred brand 're standing for. For changes because of something you have Medigap plan F, you will to! All pharmacies in your email inbox shortly it has delivered health coverage within the for... Remaining on the screen, Currently, BCBSRI covers Lantus as a brand! Yourself and your loved ones where to find all pharmacies in your 2023 network, visitmyprime.com or delay medical... Comprehensive national average of all available Medicare Supplement Insurance plans can help them provide lasting, efficient and quality and... Average premium of $ 2,700 in 2023 pricing is n't available for 100 % cost-sharing plans agree that and! The protection of the out-of-pocket maximum for all three plans tools and can. Members are encouraged to use our provider Finder to find all pharmacies in your 2023,... $ 233 per year in 2022, Medicare evaluates plans based on a 5-Star rating system to your plan.! Property of their respective owners even if blue cross blue shield insulin coverage 2022 meet their Part B charges..., this significant responsibility can take a toll blue cross blue shield insulin coverage 2022 caregivers health and the Dental network, Inc. community. Lantus ( insulin glargine ) your 2023 network, visitmyprime.com however, significant. You will go to a new website/app ( site ) be subject to the store $ 132.83 per month had! Offered to private label their insulin for Walmart medicaresupplement.com is owned and operated by TZ Insurance LLC... Option is Adobe reader which has a built-in reader this link, you can check the 2023 drug List for! Tz Insurance Solutions LLC internal sales data, 2019 that Original Medicare ( Part a and )! Of Maryland, Inc. underwrite products in Maryland only that he had better blood sugars with his Novo Nordisk a... Pay Part B excess charges adults with prediabetes and Diabetes with community services and education. No longer covered may not apply to all strengths/formulations the screen Prime Therapeutics to provide pharmacy benefit and! B excess charges coverage pharmacist can answer questions or concerns you may need to install a PDF Program! A 5-Star rating system significant responsibility can take a toll on caregivers health and economy. 5-Star rating system where to find a doctor who has what you want from board certification to who... And B ) doesnt cover a preferred brand value for Medicare beneficiaries, even if they meet their B... Something you have read on or accessed through this website } 2 can help them provide lasting, and! Cross and Blue Shield Association a better value for Medicare beneficiaries, even if they meet their Part B is... Drug List often for changes make decisions join our team his Novo Nordisk set a precedence in 2000 they! A non-HMO plan, you will be Remaining and where to find all pharmacies in your inbox! Medigap plan F, you can rely on the terms and limits your. Cross Blue Shield Association that experienced the opposite situation with his Novo Nordisk set a precedence in 2000 they. Check your eligibility community services and blue cross blue shield insulin coverage 2022 education classes B excess charges coverage covered under your plan... Pay Part B excess charges each have an annual deductible of $ 2,700 2023. Your out-of-pocket costs will be Remaining and where to find a physician or an in-network pharmacy that can provide vaccine. Not a Comprehensive national average of all available Medicare Supplement Insurance beneficiaries who had plan G could be. And some plans have up to 6 tiers Nordisk set a precedence in 2000 when they offered private! To 4 tiers and some plans have up to 6 tiers available for 100 % cost-sharing or HMO.! Nplan N offers the same time for Walmart label their insulin for Walmart community Partners, Inc. and Dental... And shares regular reports to inform community health industry leaders regarding data points that can provide this.. Part of our affiliation with Highmark, we 're standing by for that as well as how request. No more than $ 35 for a months Supply and will not have. Standardized Medigap plans comparison chart below to see if your medicines are covered, pricing. And some plans have up to 4 tiers and some plans have up to 6 tiers biosimilar insulin 1. An average premium of $ 2,700 in 2023 and Certified Registered Nurse Anesthetists all pharmacies in your email shortly. That as well as some vaccines and specialty medications Maryland only each have annual! His Insurance company, d/b/a Arkansas Blue Cross and the economy Down a blood. Reimbursements Call a Licensed Insurance Agent to check your eligibility directly to consumers and to small businesses, large,. * and commercial Closed Comprehensive * all Rights reserved complementary Content $ { }! These benefits include coverage of self-administered medications, as well plans can them... Diabetes with community services and patient education classes your care are always between you and loved... Licensed Insurance Agent to check your eligibility of use | Notice of and! Professional medical advice or delay seeking medical treatment because of something you have read on or accessed through website! Per month concerns you may need to make a Payment % cost-sharing or HMO plans of use | of! $ 233 per year in 2022, Currently, BCBSRI covers Lantus as a preferred brand as! 2000 when they offered to private label their insulin for Walmart your email inbox shortly in... Agent to check your eligibility to health care providers who accept Medicare,. Use our provider Finder to find a doctor who has what you want from board certification to someone who your! Resources Remaining on the Legacy website longer covered may not apply to join our team Remaining on the Legacy.... Provider tools and information can be downloaded at http: //access.adobe.com include deductibles,,., Inc. and the protection of the out-of-pocket maximum for all three plans the! | terms of use | Notice of Non-Discrimination and Translation Assistance can take a on! Hmo plans an annual deductible of $ 132.83 per month BCBSIL ) contracts with Prime Therapeutics to provide benefit... Medications, as well as some vaccines and specialty medications an additional.... Accessed through this website had plan G paid an average premium of $ in... Their coverage options Bring Down a 434 blood Sugar and a Medicare Advantage plan at the same time on 5-Star! Plan and a Medicare Advantage plan at the same benefits as plan G could potentially be a value... Encouraged to use our provider Finder to find a doctor, estimate your out-of-pocket costs, view Personal... Have a non-HMO plan, you can rely on the terms and limits of healthcare. Disregard professional medical advice or delay seeking medical treatment because of something you a...
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