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MESA Medical & Benefits Plan 1007 Eastern Avenue Baltimore, MD 212024345 4105479111 * 800811MEBA (Toll-free) * 4106591675 (Fax) * www.mebaplans.org Short Term Disability Claim Form for Members PART
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How to fill out meba medical and benefits

01
Step 1: Obtain the MEBA Medical and Benefits form.
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Step 2: Read through the instructions provided with the form carefully.
03
Step 3: Fill in your personal information accurately, including your full name, contact details, and date of birth.
04
Step 4: Provide details about your medical history, including any pre-existing conditions or medications you are currently taking.
05
Step 5: Answer all the questions on the form truthfully and completely.
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Step 6: If required, attach any supporting documentation such as medical reports or prescriptions.
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Step 7: Review the completed form to ensure all information is correct and nothing has been missed.
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Step 8: Sign and date the form.
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Step 9: Submit the MEBA Medical and Benefits form as instructed, either by mail or through an online platform.
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Step 10: Keep a copy of the filled-out form for your records.

Who needs meba medical and benefits?

01
Individuals who are eligible for MEBA (Merchant Marine Employment Benefits Association) medical and benefits should fill out the form.
02
This includes seafarers and maritime workers who are members of MEBA or covered under MEBA agreements.
03
Those who require access to medical services and benefits offered by MEBA, including healthcare, disability compensation, and retirement benefits, should also apply.
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It is recommended to consult with MEBA or review the specific eligibility criteria to determine if you need MEBA medical and benefits.
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MEBA Medical and Benefits (MEBA) is a program provided to eligible Merchant Marine officers, engineers, and unlicensed personnel to cover medical expenses and provide other benefits.
Merchant Marine officers, engineers, and unlicensed personnel are required to file for MEBA Medical and Benefits if they are eligible for the program.
MEBA Medical and Benefits paperwork can typically be filled out online through the MEBA website or by contacting the MEBA administration directly for assistance.
The purpose of MEBA Medical and Benefits is to provide eligible Merchant Marine personnel with financial assistance for medical expenses and other benefits to support their overall well-being.
Information that must be reported on MEBA Medical and Benefits includes personal details, medical history, and any relevant documentation such as medical bills or insurance information.
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