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UPR EHS PRIME MEDICARE PART D PRESCRIPTION DRUG PLAN (EMPLOYER PDP) BENEFIT GUIDE Your Medicare Prescription Drug coverage as a Member of the UPR EHS Prime Medicare Part D Plan 2016 A $9 co-payment
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How to fill out uprehs prime medicare plan

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How to fill out UPREHS Prime Medicare plan?

01
Start by gathering all necessary information and documents. This may include your Medicare card, Social Security card, and any other relevant identification or healthcare documents.
02
Contact UPREHS (Uniformed Services Family Health Plan Employer Group Health Plan) to obtain the necessary forms for enrolling in their Prime Medicare plan. You can usually find these forms on their website or by calling their customer service line.
03
Carefully read through the instructions provided with the forms to understand the requirements and any supporting documentation that may be needed.
04
Fill out the enrollment form with accurate and up-to-date information. This will typically include personal details such as your name, address, date of birth, and contact information.
05
Provide information about your Medicare coverage. This may include your Medicare Part A and Part B effective dates, as well as your Medicare claim number.
06
If you are a retired or active duty member of the uniformed services, you may need to provide proof of this status through documentation such as your DD 214 or orders.
07
If you are eligible for other healthcare programs, such as Medicaid or TRICARE, you may need to provide information about these programs as well.
08
Review the completed form to ensure all information is accurate and complete. Sign and date the form where indicated.
09
Gather any required supporting documentation as outlined in the instructions. This may include photocopies of your Medicare card, Social Security card, or other relevant documents.
10
Mail the completed form and supporting documentation to the address provided on the enrollment form. Be sure to keep a copy for your records.

Who needs UPREHS Prime Medicare plan?

01
Retired members of the uniformed services and their eligible family members who are eligible for Medicare can benefit from UPREHS Prime Medicare plan. This includes individuals who are 65 years or older and/or have qualified for Medicare due to a disability.
02
Active duty members of the uniformed services who are entitled to Medicare Part A and Part B coverage and wish to enroll in UPREHS Prime Medicare plan for additional benefits and coverage.
03
Family members of active duty or retired uniformed services members who are eligible for Medicare and wish to have comprehensive healthcare coverage through UPREHS Prime Medicare plan.
In summary, filling out UPREHS Prime Medicare plan involves gathering necessary information, completing the enrollment form accurately, providing supporting documentation, and mailing the form to UPREHS. This plan is designed for retired and active duty members of the uniformed services, as well as their eligible family members, who are eligible for Medicare.
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UPREHS Prime Medicare Plan is a Medicare Advantage plan offered by UPREHS (Uintah Basin Electronic Health Record System) that provides additional benefits beyond original Medicare coverage.
Individuals who are eligible for Medicare and are looking for additional benefits may choose to enroll in the UPREHS Prime Medicare Plan.
To fill out the UPREHS Prime Medicare Plan, individuals must contact UPREHS directly or visit their website to request an enrollment form and follow the instructions provided.
The purpose of UPREHS Prime Medicare Plan is to offer Medicare beneficiaries additional benefits and coverage options that are not included in original Medicare plans.
Information such as personal details, Medicare ID number, health history, and any other relevant information required by UPREHS for enrollment must be reported on the UPREHS Prime Medicare Plan.
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