Just received these and my Medicare card slid into the sleeve easily and it fits nicely. No trimming necessary. fFrom the looks of it once it is in the sleeve there is no room for trimming as other reviews I have seen. It fits in my wallet sleeves perfectly and does not stick out any further than my credit cards. I can't rate it's durability as I just received them so the jury is still out on that. Also can't report if the card is easy or difficult to remove. Since they come 5 to an order, I have 4 more sleeves should it become an issue.
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