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Medicare Advantage Plan Information Thank you for your interest in applying for the PacificSource Medicare Advantage plan. Below are links to the items which are part of the Enrollment Packet you
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How to fill out 2016 enrollment form co

How to fill out 2016 enrollment form co:
01
Start by gathering all the necessary information, such as personal details, contact information, and any relevant documentation.
02
Carefully read the instructions provided on the form to ensure you understand each section and its requirements.
03
Begin filling out the form by entering your personal information accurately, including your full name, address, date of birth, and social security number if required.
04
Provide any additional information or supporting documentation that may be required, such as proof of residency or income.
05
Complete the sections related to your healthcare preferences, such as selecting a health plan, choosing a primary care physician, and indicating any specific medical needs or conditions.
06
Double-check all the information you've entered to ensure accuracy and completeness.
07
Sign and date the form where indicated, and keep a copy for your records.
08
Submit the completed form as per the instructions provided, whether it be by mail, online submission, or in-person delivery.
Who needs 2016 enrollment form co:
01
Individuals who are seeking to enroll in a health insurance plan for the year 2016.
02
Those who are currently uninsured and wish to obtain coverage through the 2016 enrollment period.
03
Individuals whose current health insurance plan is expiring at the end of 2015 and need to renew or switch to a new plan for the following year.
04
Those who have experienced a qualifying life event, such as marriage, divorce, birth, or loss of other health coverage, and need to make changes to their current health insurance plan.
05
People who want to explore different health insurance options available in their state for the year 2016 and decide on the most suitable plan for their needs.
06
Individuals who are eligible for government assistance programs, such as Medicaid or the Children's Health Insurance Program (CHIP), and need to enroll or renew their enrollment for the year 2016.
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