Form preview

Get the free Scope of Appointment

Get Form
CignaHealthSpring Scope of Appointment All agents are required to obtain a Scope of Appointment (SOA) 48 hours before meeting with a consumer. We at CignaHealthSpring recognize that our partners have
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign scope of appointment

Edit
Edit your scope of appointment form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your scope of appointment form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit scope of appointment online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
To use our professional PDF editor, follow these steps:
1
Log in to account. Click Start Free Trial and sign up a profile if you don't have one yet.
2
Prepare a file. Use the Add New button. Then upload your file to the system from your device, importing it from internal mail, the cloud, or by adding its URL.
3
Edit scope of appointment. Replace text, adding objects, rearranging pages, and more. Then select the Documents tab to combine, divide, lock or unlock the file.
4
Save your file. Select it from your records list. Then, click the right toolbar and select one of the various exporting options: save in numerous formats, download as PDF, email, or cloud.
With pdfFiller, it's always easy to work with documents.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out scope of appointment

Illustration

How to fill out scope of appointment:

01
Obtain the necessary SCOPE OF APPOINTMENT form from your insurance provider. This form can usually be found on their website or requested from their customer service department.
02
Fill in your personal information accurately. Provide your full name, address, phone number, and any other required contact details.
03
Indicate the purpose of the scope of appointment. Specify whether it is for Medicare, health insurance, life insurance, or any other insurance coverage you are seeking.
04
Choose the appointment type. Select the type of coverage you are interested in discussing. This could include options such as Medicare Advantage plans, prescription drug plans, or Medicare Supplement plans.
05
Specify the appointment date and time. Provide the preferred date and time for the meeting with the insurance agent. Make sure it is convenient for both parties involved.
06
Sign and date the form to acknowledge your agreement to the scope of appointment. This confirms that you understand the purpose and limitations of the meeting with the insurance agent.

Who needs scope of appointment:

01
Individuals who are interested in exploring insurance coverage options should consider filling out a scope of appointment form. This ensures that they have a dedicated time to discuss their specific needs with an insurance agent.
02
Medicare beneficiaries who are considering enrolling in Medicare Advantage plans or prescription drug plans may be required to complete a scope of appointment. This allows them to have a focused discussion regarding their Medicare coverage options.
03
Those who are looking to purchase life insurance or other types of insurance coverage could also benefit from filling out a scope of appointment. This enables them to have a dedicated session with an insurance professional who can provide information and guidance tailored to their needs.
Remember, filling out a scope of appointment is an important step to ensure that you receive the necessary information and assistance regarding your insurance options. It helps streamline the discussion and ensures that both parties are prepared for a productive meeting.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.1
Satisfied
20 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

Yes. You can use pdfFiller to sign documents and use all of the features of the PDF editor in one place if you add this solution to Chrome. In order to use the extension, you can draw or write an electronic signature. You can also upload a picture of your handwritten signature. There is no need to worry about how long it takes to sign your scope of appointment.
Use the pdfFiller mobile app to fill out and sign scope of appointment on your phone or tablet. Visit our website to learn more about our mobile apps, how they work, and how to get started.
Download and install the pdfFiller iOS app. Then, launch the app and log in or create an account to have access to all of the editing tools of the solution. Upload your scope of appointment from your device or cloud storage to open it, or input the document URL. After filling out all of the essential areas in the document and eSigning it (if necessary), you may save it or share it with others.
The scope of appointment is a form that must be completed by a beneficiary before an agent can discuss specific Medicare Advantage or Prescription Drug Plan options with them.
Beneficiaries who wish to receive information about specific Medicare Advantage or Prescription Drug Plans are required to file a scope of appointment.
Beneficiaries can fill out the scope of appointment form by providing their personal information, acknowledging the agent's authority to discuss specific Medicare plans, and signing the form.
The purpose of the scope of appointment is to ensure that beneficiaries are receiving information about Medicare plans that align with their needs and preferences.
The scope of appointment form must include the beneficiary's name, contact information, Medicare ID number, plan type they are interested in, and any specific preferences or requests.
Fill out your scope of appointment online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.