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C One claim form is usually sufficient to cover the full period of hospitalisation. However in the case of long stay patients progressive claim forms should be issued provided that subsequent claim forms issued do not cover any part of a period already covered by a prior certificate of hospitalisation. Where progressive claim forms are issued and the hospitalisation is continuous the discharge date on the preceding claim form should be repeated as the admission date on the current claim form....
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Read the instructions on the top of the hc21 form.
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Provide your personal information such as name, address, and contact details.
03
Indicate your eligibility category for the health coverage.
04
Answer the questions regarding your health insurance coverage.
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Who needs hc21 form?

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Anyone who wants to apply for health coverage
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Individuals who are eligible for medical assistance programs
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hc21 form is a form used for reporting health coverage information to the IRS.
Employers that provide self-insured health coverage are required to file hc21 form.
hc21 form can be filled out online or by mail with the necessary health coverage information.
The purpose of hc21 form is to report health coverage information to the IRS.
Information such as the name, address, and social security number of the individual covered under the health plan must be reported on hc21 form.
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