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Section 1915(b) Waiver STATE OF NORTH CAROLINA PIEDMONT CARDINAL HEALTH PLAN Renewal April 1, 2007, March 31, 2009, Renewal 4/1/07 3/31/09 STATE OF NC PIEDMONT PLAN Table of Contents Proposal Face
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How to fill out the Piedmont Cardinal Health Plan:

01
Obtain the application form for the Piedmont Cardinal Health Plan. This form can usually be found on the official website of the health plan or by contacting their customer service department.
02
Read the instructions carefully and gather all the necessary documents and information required to complete the application. This may include personal identification, proof of residency, and income verification.
03
Begin filling out the application form by providing your personal information such as your full name, date of birth, address, and contact details.
04
Provide accurate information about your current healthcare coverage, including any existing health insurance plans or Medicaid/Medicare enrollments.
05
Disclose your financial information, including your household income and any assets or resources you may have.
06
Answer any additional questions or sections related to your health history, pre-existing conditions, and any specific healthcare needs you may have.
07
Double-check all the information provided to ensure its accuracy and completeness.
08
Submit the filled-out application form along with any required supporting documents to the designated address or online portal as specified in the instructions.
09
It is advisable to keep a copy of the completed application for your records.

Who needs Piedmont Cardinal Health Plan:

01
Individuals or families who reside in the Piedmont region and are in need of comprehensive health insurance coverage.
02
Those who do not have access to employer-sponsored health insurance or other government health coverage options.
03
Individuals who desire a health plan that offers a wide network of healthcare providers and specialists, ensuring quality healthcare services.

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The Piedmont Cardinal Health Plan is a healthcare plan offered by Piedmont Cardinal Hospital. It provides comprehensive medical coverage to individuals and their families.
Employees of Piedmont Cardinal Hospital and eligible individuals are required to file the Piedmont Cardinal Health Plan in order to enroll and receive healthcare benefits.
To fill out the Piedmont Cardinal Health Plan, eligible individuals can visit the hospital's HR department or the designated enrollment portal and provide the required personal and medical information.
The purpose of the Piedmont Cardinal Health Plan is to provide affordable and comprehensive healthcare coverage to individuals and their families, ensuring access to necessary medical services.
The Piedmont Cardinal Health Plan requires individuals to report their personal information such as name, address, date of birth, as well as their medical history, current health conditions, and any pre-existing conditions.
The deadline to file the Piedmont Cardinal Health Plan in 2023 is not specified. It is recommended to contact the hospital's HR department or refer to the enrollment materials for the accurate deadline.
The penalty for the late filing of the Piedmont Cardinal Health Plan is not specified. It is advisable to consult the hospital's HR department or refer to the plan's terms and conditions for information regarding any penalties.
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