Page 50 - Cover Letter and Evaluation for Amy Prack

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Your Plan Details

Zip Code: 43221
Current Coverage: Original Medicare
Current Subsidy: No Extra Help [?]
Select the tabs below for more detailed information about the plan health benefits, drug costs Drug List ID: 3233662560
and more coverage and star ratings.
Password Date: 05/12/2019
Important Coverage Information

Symbols
A process through which the physician or other health care provider is required to obtain advance approval from the plan that payment
will be made for a service or item furnished to an enrollee. Unless specified otherwise with respect to a particular item or service, the
enrollee is not responsible for obtaining (prior) authorization.
Some Dental Coverage Some Vision Coverage Some Hearing Coverage

* Estimated

Humana Gold Plus H6622- 500 West Main Street Overall Star Rating: Enroll
013 (HMO) Louisville, KY 40202 Members: [?]
1-800-457-4708 711 (TTY/TDD)
(H6622-013-0) 1 Non Members: 1-800-833-2364 4 out of 5 stars
711 (TTY/TDD)
Organization: Humana
Plan Type: HMO

Additional Plan Information

Overall Star Rating [?] 4 out of 5 stars

Health Plan Star Ratings [?] 4 out of 5 stars

Drug Plan Star Ratings [?] 4.5 out of 5 stars
Plan Type: HMO
Plan Status: Approved by Medicare
Area: Columbus Metro Area

View plan website 
Important Note:
View Drug Benefit Summary

Provider Network: 12001-13000 physicians and providers.
View provider and physician network website 
View a chart on how an independent sales agent or broker would be compensated if they were to enroll you in a plan for 2019.