Page 60 - Cover Letter and Evaluation for Debbie Workman
P. 60

12/13/2017                                       Your Medicare Health Plan Details







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         Your Plan Details

                                                                          Zip Code:  99206
                                                                          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:  2065979904
         and more coverage and star ratings.
                                                                          Password Date:  12/13/2017
                                                                          Important Coverage Information

         You are now viewing 2018 plan data.  View 2017 plan data.
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               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.
               A process through which the enrollee’s primary care physician or other network physician (depending on the plan policy) permits or
               instructs the enrollee to obtain an item or service from another physician or other provider type.
              Some Dental Coverage          Some Vision Coverage          Some Hearing Coverage
           * Estimated










            Humana Gold Plus H5619-          500 West Main Street        Overall Star Rating:  [?]   Enroll
                                             Louisville, KY 40202
            060 (HMO)
                                                                         4 out of 5 stars
            (H5619-060-0) 1                  Members:
                                             1-800-457-4708
            Organization: Arcadian Health Plan,  711 (TTY/TDD)
            Inc.
                                             Non Members:
            Plan Type:                       1-800-833-2364
                                             711 (TTY/TDD)



               Additional Plan Information



            Overall Star Rating   [?]
                                                                                              4 out of 5 stars


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


            Drug Plan Star Ratings   [?]
                                                                                              3.5 out of 5 stars








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