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REQUEST FOR MEDICARE PRESCRIPTION DRUG COVERAGE DETERMINATION
This form may be sent to us by mail or fax:
Address:
CVS Earmark
c/o Metropolis Health Plan
P.O. Box 52000
MC109
Phoenix, AZ 850722000Fax
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How to fill out co metroplus health plan
How to fill out co metroplus health plan
01
To fill out the Co MetroPlus health plan, please follow these steps:
02
Visit the Co MetroPlus website or contact their customer service to obtain the necessary forms.
03
Review the eligibility requirements and ensure you meet them.
04
Provide personal information, such as your name, address, and contact details.
05
Submit any required supporting documents, such as proof of income or residency.
06
Complete the enrollment form, ensuring all sections are filled out accurately.
07
Review the form for any errors or missing information.
08
Sign and date the form.
09
Submit the completed form and any supporting documents either online, by mail, or in-person at a Co MetroPlus office.
10
Wait for confirmation of enrollment or any further communication from Co MetroPlus regarding your health plan.
Who needs co metroplus health plan?
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Anyone residing in Co MetroPlus's coverage area and in need of health insurance can benefit from the Co MetroPlus health plan.
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This includes individuals who do not have health insurance through their employer, those who qualify based on their income level, and those who are seeking comprehensive healthcare coverage at an affordable cost.
03
It is particularly beneficial for individuals and families who may have difficulty affording traditional health insurance plans or who require specialized healthcare services.
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