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SLMB QDWI or QI1. These pay for your Medicare premiums and sometimes your Medicare co-pays and deductibles. You must also complete and send us the HCFA Authorized Representative Individual found on our website at https //tn.gov/tenncare/topic/hipaa-forms. If you re approved your approval letter will tell you who your plan is and how you can change it. The health plans for TennCare are AmeriGroup BlueCare and UnitedHealthcare. 3 Bank statements for the month of application and two months...
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