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Cleveland Clinic Employee Health Plan Prescription Drug Benefit and Formulary HandbookCalendar Year 2017Your Guide to Quality Healthcare Services and Healthier Living Welcome to the Cleveland Clinic
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Step 1: Obtain the health benefit program member form.
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Step 2: Read the instructions provided on the form carefully.
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Step 3: Fill out your personal information accurately, including your name, contact details, and social security number.
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Step 4: Provide accurate information about your current health insurance coverage, if applicable.
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Step 5: Indicate the type of health benefit program you are applying for.
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Step 6: Answer all additional questions related to your eligibility for the program.
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Step 7: Review the completed form for any errors or omissions.
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Step 11: Keep a copy of the filled-out form for your records.

Who needs health benefit program member?

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Anyone who is seeking health insurance coverage and meets the eligibility requirements for the health benefit program can apply to become a member.
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Individuals who are uninsured or have limited access to healthcare benefits can benefit from the health benefit program.
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Low-income individuals and families, senior citizens, disabled individuals, and pregnant women are often targeted for eligibility in such programs.
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Those who cannot afford private health insurance or do not have access to employer-sponsored health plans can also benefit from the health benefit program.
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A health benefit program member is an individual who is enrolled in a health insurance or benefit plan.
Employers or insurance companies are required to file health benefit program member information.
To fill out health benefit program member, you need to provide details such as name, address, and coverage information of the individual.
The purpose of health benefit program member is to maintain accurate records of individuals enrolled in health insurance or benefit plans.
Information such as name, address, social security number, and coverage details must be reported on health benefit program member.
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