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REQUEST FOR MEDICARE PRESCRIPTION DRUG COVERAGE DETERMINATION This form may be sent to us by mail or fax: Address: University of Maryland Health Advantage c×o CVS Earmark P.O. Box 52000, MC109 Phoenix,

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1. Visit the official website of University of Maryland Health.
2. Look for the section related to health services or health insurance.
3. Click on the link or button that says "Fill out University of Maryland health form" or something similar.
4. Provide all the necessary personal information such as your name, date of birth, address, and contact details.
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7. Submit the form by clicking on the "Submit" button or following any additional instructions provided.

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1. University of Maryland students: As part of their enrollment, students at the University of Maryland are required to have adequate health insurance coverage. University of Maryland health serves as a platform for students to enroll in a health insurance plan that meets the university's requirements.
2. Faculty and staff members: University of Maryland health may also be applicable to faculty and staff members who are eligible for health insurance coverage through the university. This ensures that employees have access to healthcare services and can fulfill their health insurance obligations.
3. Dependents of students, faculty, and staff: University of Maryland health may also extend coverage options to the dependents of enrolled students, faculty, and staff members. This allows family members to access healthcare services and be included in the university's health insurance plan.

It is important to note that the specific requirements for University of Maryland health insurance coverage may vary depending on individual circumstances and the university's policies. Therefore, it is recommended to refer to the official university resources for detailed information on eligibility and the application process.

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University of Maryland Health is a health system that includes hospitals, clinics, and healthcare providers associated with the University of Maryland.

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The purpose of University of Maryland Health is to track and report healthcare services provided by the University of Maryland Health system.

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Information such as the patient's name, insurance information, diagnosis, treatment provided, and any medications prescribed must be reported on University of Maryland Health.