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Upper Peninsula Health Plan (PHP) Choice (HMO) offered
by Upper Peninsula Health Plan, Annual Notice of Changes for 2019
You are currently enrolled as a member of PHP Choice (HMO). Next year, there
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How to fill out upper peninsula health plan

How to fill out upper peninsula health plan
01
To fill out the Upper Peninsula Health Plan, follow these steps:
02
Obtain the application form from the Upper Peninsula Health Plan website or request it by contacting their customer service.
03
Read the instructions carefully to understand the information required and any supporting documents needed.
04
Provide your personal information such as name, address, date of birth, and social security number.
05
Fill out the sections related to your household, including the number of people living with you and their information.
06
Provide details about your income, including employment information, wages, and any other sources of income.
07
Indicate if you have any existing health insurance coverage.
08
Review the completed application form and make sure all the information is accurate.
09
Sign and date the form.
10
Submit the filled-out Upper Peninsula Health Plan application form by mail or electronically, as instructed.
11
Keep a copy of the application form for your records.
12
Note: It is recommended to contact Upper Peninsula Health Plan directly for any specific guidance or clarification regarding the application process.
Who needs upper peninsula health plan?
01
The Upper Peninsula Health Plan is designed for individuals and families who meet certain eligibility criteria and reside in the Upper Peninsula region of Michigan.
02
Specifically, those who may need the Upper Peninsula Health Plan include:
03
- Individuals who do not have access to employer-sponsored health insurance
04
- Low-income individuals and families who meet the income requirements
05
- Uninsured individuals and families who need affordable health coverage
06
- Individuals and families who qualify for Medicaid
07
It is important to note that eligibility requirements and program availability may vary, so it is advisable to contact Upper Peninsula Health Plan directly to determine if you qualify and for more detailed information.
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What is upper peninsula health plan?
Upper Peninsula Health Plan (UPHP) is a managed care organization that provides healthcare coverage to members in the Upper Peninsula of Michigan.
Who is required to file upper peninsula health plan?
Providers and organizations that participate in UPHP's network are required to file claims and reports with the plan.
How to fill out upper peninsula health plan?
Providers can fill out UPHP forms online through their provider portal or by submitting paper forms via mail or fax.
What is the purpose of upper peninsula health plan?
The purpose of UPHP is to ensure that members in the Upper Peninsula have access to quality healthcare services and providers.
What information must be reported on upper peninsula health plan?
Providers must report information such as member demographics, diagnosis codes, procedure codes, and date of service on UPHP claims and reports.
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