2021 Enrollment Guide

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Essentials Choice Rx 14

Plan: H3864-014

Premium: $99

Covers: Medicare + Rx

Summary of Benefits

Evidence of Coverage

CMS Star Rating

Essentials Rx 27

Plan: H3864-027

Premium: $55

Covers: Medicare + Rx

Summary of Benefits

Evidence of Coverage

CMS Star Rating

Essentials 2

Plan: H3864-002

Premium: $0

Covers: Medicare Only (No Rx)

Summary of Benefits

Evidence of Coverage

CMS Star Rating

Two Steps to Enroll:

  1. Sign Scope of Appointment Form
  2. Complete Online Enrollment Form

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