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Underwritten by:MEDICARE PRESCRIPTION DRUG PLAN INDIVIDUAL ENROLLMENT FORM EMPLOYERSPONSORED GROUP PLAN ADMINISTERED BY BENISTARTo enroll in Express Scripts Medicare (PDP) please provide the following
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How to fill out to enroll in express

01
To enroll in express, follow these steps:
02
Visit the official website of express enrollment.
03
Click on the 'Enroll Now' button.
04
Fill out the enrollment form with your personal details such as name, address, contact information, etc.
05
Provide any required supporting documents or information, such as identification proof or academic records.
06
Review the completed form to ensure all information is accurate and up-to-date.
07
Submit the enrollment form online.
08
Wait for a confirmation email or notification regarding your enrollment status.
09
If approved, follow further instructions provided to complete the enrollment process.

Who needs to enroll in express?

01
Anyone who wishes to utilize the services or benefits offered by express needs to enroll. This includes individuals seeking express shipping, express membership, express loyalty program, or any other features provided by express.
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