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Horizon Medicare Blue Advantage (HMO)
2018 Formulary
(List of Covered Drugs)
PLEASE READ: THIS DOCUMENT CONTAINS INFORMATIONABOUT THE DRUGS WE COVER IN THIS PLANFormulary ID: 00018130, Version: 7
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How to fill out horizon medicare blue advantage

How to fill out horizon medicare blue advantage
01
To fill out Horizon Medicare Blue Advantage, follow these steps:
02
Gather all the necessary information such as personal details, Medicare number, and prescription drug details.
03
Visit the Horizon Medicare Blue Advantage website or contact their customer service to request an enrollment form.
04
Fill out the enrollment form accurately and completely. Provide all the required information and double-check for any errors.
05
Attach any supporting documentation, if necessary.
06
Review the filled-out form for any missing information or mistakes.
07
Sign and date the form.
08
Submit the completed form through the designated channels, which may include mailing it or submitting it online.
09
Keep a copy of the filled-out form for your records.
10
Follow up with Horizon Medicare Blue Advantage to ensure your enrollment has been processed successfully.
11
If any additional steps or information is required, contact their customer service for assistance.
Who needs horizon medicare blue advantage?
01
Horizon Medicare Blue Advantage is for individuals who meet the following criteria:
02
- Eligible for Medicare
03
- Looking for additional coverage beyond Original Medicare
04
- Residing in the service area of Horizon Medicare Blue Advantage
05
- Interested in benefits such as prescription drug coverage, dental, vision, and other extras
06
- Willing to comply with the terms and conditions of the Horizon Medicare Blue Advantage plan
07
It is recommended to consult with a healthcare professional or contact Horizon Medicare Blue Advantage directly for specific eligibility requirements and further information.
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What is horizon medicare blue advantage?
Horizon Medicare Blue Advantage is a Medicare Advantage plan offered by Horizon Blue Cross Blue Shield of New Jersey.
Who is required to file horizon medicare blue advantage?
Individuals who are enrolled in the Horizon Medicare Blue Advantage plan are required to file this information.
How to fill out horizon medicare blue advantage?
To fill out Horizon Medicare Blue Advantage, individuals must provide information about their medical history, current medications, and other relevant health information.
What is the purpose of horizon medicare blue advantage?
The purpose of Horizon Medicare Blue Advantage is to provide additional coverage and benefits beyond original Medicare.
What information must be reported on horizon medicare blue advantage?
Information such as medical history, current medications, and any changes in health conditions must be reported on Horizon Medicare Blue Advantage.
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