Help". 
Your plan also provides enhanced insulin coverage which means you will pay no more than $35 for a 
one-month (up to 30-day) supply for all Part Dinsulins covered by our plan, including Select Insulins, no 
matter what cost-sharing tier it’s on ,even if you haven’t paid your deductible .The enhanced insulin 
coverage is available, even if you receive "Extra Help". 
Your share of the cost for Select Insulins: 14 Summary of Benefits H5216107000SB23 H5216107000