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Plan Details for

Below is the plan coverage information for the plan you selected.

Note: Standalone Prescription Drug Plans are offered by SilverScript, a CVS Health company.
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Total Estimated Costs
Coverage Overview Section
* Medicare Star Rating
Benefits—Amounts You Pay Section
Plan: --
* Shaded stars are out of (5) stars

Limitations, copayments, and restrictions may apply. See above or contact the plan for more details.

You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for extra help, call:

  • 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048. 24 hours a day, 7 days a week.
  • The Social Security Office at 1-800-772-1213.  TTY users should call 1-800-325-0778. Monday through Friday, 7 a.m. to 7 p.m.
  • Your State Medicaid Office.

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