a clear, simple explanation of the benefits available under this subchapter and the major categories of health care for which benefits are not available under this subchapter,

the limitations on payment (including deductibles and coinsurance amounts) that are imposed under this subchapter, and

a description of the limited benefits for long-term care services available under this subchapter and generally available under State plans approved under subchapter XIX.

a statement which indicates that because errors do occur and because medicare fraud, waste, and abuse is a significant problem, beneficiaries should carefully check any explanation of benefits or itemized statement furnished pursuant to section 1395b–7 of this title for accuracy and report any errors or questionable charges by calling the toll-free phone number described in paragraph (4);

a statement of the beneficiary’s right to request an itemized statement for medicare items and services (as provided in section 1395b–7(b) of this title);

a description of the program to collect information on medicare fraud and abuse established under section 1395b–5(b) of this title; and

a toll-free telephone number maintained by the Inspector General in the Department of Health and Human Services for the receipt of complaints and information about waste, fraud, and abuse in the provision or billing of services under this subchapter.

references to educational resources regarding opioid use and pain management;

a description of categories of alternative, non-opioid pain management treatments covered under this subchapter; and

a suggestion for the beneficiary to talk to a physician regarding opioid use and pain management.