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Combined Evidence of Coverage and Disclosure Form Trinket Group, Inc. Group Number: H12151 Effective Date: October 1, 2013, An independent member of the Blue Shield Association Access+ HMO NOTICE
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What is hmo 30 - blue?
HMO 30 - blue is a type of health insurance plan offered by Blue Cross Blue Shield that provides coverage for individuals and families.
Who is required to file hmo 30 - blue?
Anyone who purchases an HMO 30 - blue plan from Blue Cross Blue Shield is required to file it.
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To fill out HMO 30 - blue, you need to provide your personal information, including name, address, and contact details. You also need to provide information about your dependents if applicable. Additionally, you will need to answer questions about your medical history and any pre-existing conditions.
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The purpose of HMO 30 - blue is to provide health insurance coverage for individuals and families, ensuring that they have access to necessary medical services and treatments.
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On HMO 30 - blue, you must report personal information such as name, address, and contact details. You must also report information about your dependents if applicable. Additionally, you may need to provide information about your medical history and any pre-existing conditions.
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