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Get the free CCPOA Supplement to Medicare Evidence of Coverage. Physician's Report on Disability ...

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CC POA LOGO CC POA Medical Plan Access+ HMO Evidence of Coverage and Disclosure Form for the Supplement to Original Medicare Plan Effective January 1, 2010, Sponsored by California Correctional Peace
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The CCPoA Supplement to Medicare is a supplementary insurance plan provided to members of the California Correctional Peace Officers Association (CCPoA) who are eligible for Medicare.
All members of the California Correctional Peace Officers Association who are eligible for Medicare are required to file the CCPoA Supplement to Medicare.
To fill out the CCPoA Supplement to Medicare, you will need to provide personal information, Medicare details, and any additional required information as specified in the form. The form can be obtained from the CCPoA website or by contacting the association directly.
The purpose of the CCPoA Supplement to Medicare is to provide additional insurance coverage and benefits to eligible members of the California Correctional Peace Officers Association who are enrolled in Medicare. It helps cover expenses and services not covered by Medicare alone.
The CCPoA Supplement to Medicare typically requires information such as personal details (name, address, date of birth), Medicare information (Medicare number, effective dates), and any additional information required to determine eligibility for the supplementary insurance plan.
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