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9/12/2017 Your Medicare Health Plan Details

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Your Plan Details

Zip Code: 90049
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: 0226651648
and more coverage and star ratings.
Password Date: 09/12/2017
Important Coverage Information

Symbols

Some Vision Coverage Some Hearing Coverage
* Estimated

Aetna Medicare Choice P.O. Box 14088 Overall Star Rating: [?] Enroll
Lexington, KY 40512
Plan (PPO)
(H5521-125-0) 1 Members: 4 out of 5 stars
1-800-282-5366
Organization: Aetna Medicare 711 (TTY/TDD)
Plan Type: Non Members:
1-855-338-7027
711 (TTY/TDD)

Additional Plan Information

Overall Star Rating [?]
4 out of 5 stars

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

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

Plan Type: Local Preferred Provider Organization
Plan Status: Approved by Medicare
Area: Los Angeles County

View plan website 
Important Note:
This plan's deductible only applies to out-of-network services.

View Drug Benefit Summary
Provider Network: 9001-10000 physicians and providers.
View provider and physician network website 

https://www.medicare.gov/find-a-plan/results/planresults/plan-details.aspx?cntrctid=H5521&plnid=125&sgmntid=0 1/2