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ENROLLMENT BOOK 20192019Medicare Advantage HMO
with Prescription DrugsVitality Health Plan of California
18000 Studebaker Road, Suite 960
Burritos, CA 90703VitalityFor enrollment inquiries, or to
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01
Open the Vitality for Life form.
02
Start by filling out your personal information such as name, date of birth, and contact details.
03
Provide your current health condition and any existing medical conditions.
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Fill in the details of your lifestyle choices such as diet, exercise routine, and sleep patterns.
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Mention any medications or supplements you are currently taking.
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Answer the questions related to your mental and emotional well-being.
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What is vitality for life?
Vitality for life is a form required to be filed by individuals to provide information regarding their medical history and current health status.
Who is required to file vitality for life?
All individuals are required to file vitality for life.
How to fill out vitality for life?
To fill out vitality for life, individuals need to provide accurate information about their medical history, current health status, and any treatments or medications they are currently undergoing.
What is the purpose of vitality for life?
The purpose of vitality for life is to assess an individual's overall health and wellness.
What information must be reported on vitality for life?
Information on medical history, current health status, treatments, and medications must be reported on vitality for life.
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