Page 88 - Cover Letter and Evaluation for Dr. Herman Kensky

11/8/2017 Your Medicare Health Plan Details

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Your Plan Details
Zip Code: 31411
Current Coverage: Original Medicare
Current Subsidy: No Extra Help [?]
Select the tabs below for more detailed information about the plan health benefits,
drug costs and more coverage and star ratings. Important Coverage Information

You are now viewing 2018 plan data. View 2017 plan data.
Symbols

Nationwide Coverage
* Estimated

Enrollment phone
number

EnvisionRxPlus (PDP) 2181 E. Aurora Rd, Suite 201 Overall Star Rating: [?] Enroll
Twinsburg, OH 44087
(S7694-010-0)
3 out of 5 stars
Members:
Organization: EnvisionRx Plus 1-866-250-2005
711 (TTY/TDD)
Plan Type:
Non Members:
1-888-377-1439
711 (TTY/TDD)

NOTE: Health Plan Benefits are based on Original Medicare

Fixed Costs

Monthly Health Plan Premium: Not Applicable

Monthly Drug Plan Premium: $12.60

Estimated Costs

You have not entered any drugs. The estimate below includes only the cost of the monthly premiums that you would pay for the
plan. To get specific costs for the drugs you take, Enter drugs.
Estimated annual drug costs: [?] $151.20

This does not include any health costs you may have.

Medicare costs at a glance

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