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AB CDE PO Box 1827 Medford, OR 97501 Regency Advantage (PPO) Optional Supplemental Dental Plan Selection Form Date Member Name (Please Print) Member ID Number Medicare ID Number (if no Advantage ID
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ABCDE PO Regence MedAdvantage is a Medicare Advantage plan offered by Regence BlueCross BlueShield.
Individuals who are enrolled in the ABCDE PO Regence MedAdvantage plan are required to file.
You can fill out the ABCDE PO Regence MedAdvantage plan online through the Regence BlueCross BlueShield website or by calling customer service.
The purpose of the ABCDE PO Regence MedAdvantage plan is to provide additional benefits and coverage beyond Original Medicare.
You must report personal information, medical history, and any medications you are currently taking.
The deadline to file the ABCDE PO Regence MedAdvantage plan in 2023 is December 7th.
The penalty for late filing of the ABCDE PO Regence MedAdvantage plan is a possible loss of coverage or benefits.
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