Language Access Services: Spanish (Español): Para obtener asistencia en Español, llame al 1-800-207-3172. Traditional Chinese (中文): 如果需要中文的幫助, 請撥打這個號碼 1-800-207-3172. Navajo (Dine): Dinek'ehgo shika at'ohwol ninisingo, kwiijigo holne' 1-800-207-3172. Pennsylvania Dutch (Deitsch): Fer Hilf griege in Deitsch, ruf die do Nummer uff 1-800-207-3172. Tagalog (Tagalog): Kung kailangan ninyo ang tulong sa Tagalog tumawag sa 1-800-207-3172. Samoan (Gagana Samoa): Mo se fesoasoani i le Gagana Samoa, vala’au mai i le numera telefoni 1-800-207-3172. Carolinian (Kapasal Falawasch): ngere aukke ghut alillis reel kapasal Falawasch au fafaingi tilifon ye 1-800-207-3172. Chamorro (Chamoru): Para un ma ayuda gi finu Chamoru, å’gang 1-800-207-3172. To see examples of how this plan might cover costs for a sample medical situation, see the next section. Page 7 of 8