Michael Garzilli
Port Chester, NY *****
************@*****.***
Professional Summary
Have View all you recommendations recently selected a new PCP? The information on this ID card may not be updated yet. Please check back again later. Prepare For Your Next Doctor Appointment
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Member ID: 980******-**
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Plan status: Medical Drug Dental Vision
Covered date: 01/01G/2o0T2o3 -U1C2a/r3d1/H2u0b23
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Work Experience
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Health Complex Medical Inc
March 2023 to March 2023
Subscriber DOB
Michael GaVrizeilwli UCard Access gym code
June 1957 to June 1957
Coverage Start:
0M1/y01U/2C3ard Hub View balances
Earned rewards $0.00
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My spending View summary details
Medicare Advantage Plan
Out-of-Pocket Maximum
$583 spent / $7,200 total
Combined Out-of-Pocket Maximum
$618 spent / $10,000 total
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Primary Care Provider
SUNIL RANA
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My claims View all claims
CVS PHARMACY #053**-*****
Date of Service 03/13/2023
Claim Type Pharmacy
Claim Status Processed - 03/13/2023
Your Share $7.04
Claim Type Medical
Claim Status In Process
Your Share $6.45
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• Plan: Choice Plan 1 (Regional PPO)
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