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Horizon Medicare Advantage and Part D Employer Application Please fill in the information below and return the completed form to Horizon Blue Cross Blue Shield of New Jersey via one of these two easy
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How to fill out horizon medicare advantage

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How to fill out horizon medicare advantage

01
To fill out Horizon Medicare Advantage, follow these steps:
02
Gather all necessary information, such as your personal details, Medicare card, and any healthcare coverage documents you have.
03
Visit the official website of Horizon Medicare Advantage or contact their customer service to request a copy of the enrollment form.
04
Read the instructions and guidelines provided along with the form. Make sure you understand the eligibility criteria and plan details before proceeding.
05
Fill in your personal information accurately, including your full name, date of birth, gender, residential address, and contact details.
06
Provide your Medicare card information, including the Medicare number and effective date.
07
Indicate your healthcare coverage preferences by selecting the appropriate plan options from the available choices.
08
If you have any additional healthcare coverage, provide the necessary information for coordination of benefits.
09
Review the completed form thoroughly to ensure all information is accurate and complete.
10
If required, attach any supporting documents as mentioned in the form's instructions, such as proof of residency or supplementary insurance coverage.
11
Sign and date the form where indicated, verifying the accuracy of the information provided.
12
Submit the completed form either online through the official website or by mail, following the instructions provided.
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Keep a copy of the filled-out form and any supporting documents for your records.
14
Wait for confirmation from Horizon Medicare Advantage regarding your enrollment status. They will contact you if any additional information or documentation is required.

Who needs horizon medicare advantage?

01
Horizon Medicare Advantage is designed for individuals who are eligible for Medicare and want additional coverage beyond what is offered by the original Medicare program.
02
Specifically, those who may benefit from Horizon Medicare Advantage include:
03
- Medicare beneficiaries who want comprehensive healthcare coverage, including prescription drug benefits and additional services not covered by original Medicare.
04
- Individuals who prefer the convenience of having their medical and prescription drug coverage bundled into one plan.
05
- Those who want access to a network of healthcare providers for coordinated care and cost savings.
06
- Individuals who anticipate regular healthcare needs and prefer a predictable out-of-pocket cost structure.
07
- Medicare beneficiaries who want the flexibility to choose from a range of plan options to suit their healthcare needs and budget.
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- Individuals who want access to additional benefits, such as wellness programs, preventive care, and extras like dental or vision coverage.
09
It is important for individuals to review the specific details and benefits of Horizon Medicare Advantage plans to determine if it meets their unique healthcare requirements and preferences.
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Horizon Medicare Advantage is a type of Medicare health plan offered by Horizon Blue Cross Blue Shield of New Jersey.
Individuals who are eligible for Medicare and choose to enroll in a Medicare Advantage plan offered by Horizon Blue Cross Blue Shield of New Jersey.
To fill out a Horizon Medicare Advantage plan, individuals can do so online through the Horizon Blue Cross Blue Shield of New Jersey website or by contacting their customer service.
The purpose of Horizon Medicare Advantage is to provide individuals eligible for Medicare with additional coverage options beyond what Original Medicare offers.
Information such as personal details, medical history, and preferred coverage options must be reported on a Horizon Medicare Advantage plan application.
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