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Unifier Health Plan of West Virginia, Inc. Medicaid Managed Care Recertification Request form Unifier Health Plan of West Virginia, Inc. (Unifier) recertification: 18666557423 Fax: 18554026983 To
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How to fill out unicare health plan of

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Step 1: Gather all the required information such as personal details, income information, and medical history.
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Step 2: Access the Unicare Health Plan website or contact their customer service to obtain the required forms for enrollment.
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Step 3: Carefully review the instructions provided with the forms to understand the information required for each section.
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Step 4: Fill out the personal details section accurately, including your full name, contact information, date of birth, and social security number.
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Step 5: Provide the necessary details regarding your income, including employment information and any other sources of income.
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Step 6: Fill out the medical history section, providing information about any pre-existing conditions or ongoing medical treatments.
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Step 7: Double-check the form to ensure all sections are completed correctly and no information is missing.
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Step 8: Sign and date the form in the designated area to confirm the accuracy of the provided information.
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Step 9: Submit the completed form by mail or through the online submission portal, following the instructions provided.
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Step 10: Keep a copy of the filled-out form for your records.

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Individuals who do not have access to employer-sponsored health insurance.
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Those who prefer a wide network of healthcare providers and flexible health plan options.
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Residents in the state where Unicare Health Plan is available and recognized.
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