Page 15 - Cover Letter and Evaluation for Stephen Spero
P. 15

Client Data Sheet




                                        Client ID:   126734                                  July 31, 2020


                                   Please verify the accuracy of the information below




                                                                                               04/13/53

                              Date that Medicare became or will become primary (when
                                                         client has both Part A & Part B):     10/01/20
                                                                 Client's home zip code:        92114


                            Has client started receiving Social Security or SSDI payments?        Yes


                                  After client retires, will he or she have access to health
                             insurance through a spouse's or ex-spouse's employer plan?           No



                 Client's Selection Criteria                                              Does the Medicare
                                                                                         web site indicate that
                                                                                          this doctor accepts
                         Continue to see following physicians:
                                                                                          Medicare-approved
                                                                                                rates?
                         Dr. David Liu            Internal medicine                               Yes

                         Dr. Phillip Taunton      Optometry                                       Yes
                         Dr. Abraham Chyung       Neurology                                       Yes
                         Client wishes to compare both types of supplemental coverage




                               Prescription Drugs
                         Pharmacy                 Rite Aid
                         Refill schedule          Monthly



















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