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ILIUM WELFARE PLAN 1188 FRANKLIN STREET, SUITE 300 SAN FRANCISCO, CA 94109 (415) 6738500 DIABETIC DURABLE EQUIPMENT CLAIM FORM PLEASE READ INSTRUCTIONS BELOW BEFORE COMPLETING THE CLAIM FORM ON OTHER
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ILWU-PMA diabetic durable equipment refers to medical equipment and supplies used by diabetic patients which are covered under the ILWU-PMA health benefit plan.
Patients who are covered under the ILWU-PMA health benefit plan and require diabetic durable equipment are required to file for it.
To fill out ILWU-PMA diabetic durable equipment, patients need to provide details about the durable equipment needed, along with any relevant medical documentation.
The purpose of ILWU-PMA diabetic durable equipment is to ensure that diabetic patients have access to necessary medical supplies and equipment to manage their condition effectively.
Information such as the type of durable equipment needed, supporting medical documentation, and patient's contact and insurance information must be reported on ILWU-PMA diabetic durable equipment.
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