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Attn: Medicare Enrollment Processing PO Box 211316, Reagan, MN 55121 Phone: 1877 8839577 TTY: 1800 6621220 Monday Friday, 8 a.m. 8 p.m. From October 1 March 31:8 a.m. to 8 p.m., 7 days a week2020
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How to fill out excellus bcbs optional supplemental
How to fill out excellus bcbs optional supplemental
01
To fill out the Excellus BCBS optional supplemental form, follow these steps:
02
Download the form from the official Excellus BCBS website.
03
Open the form using a compatible software such as Microsoft Excel or Google Sheets.
04
Enter your personal information such as full name, address, contact number, and email address in the designated fields.
05
Provide your Excellus BCBS policy or member number, if applicable.
06
Review the optional supplemental coverage options provided and select the ones you wish to add to your existing policy.
07
If required, provide any additional documentation or proof required for specific optional coverage.
08
Double-check your completed form for accuracy and completeness.
09
Save the filled-out form on your computer or device.
10
Submit the form as instructed by Excellus BCBS, either electronically or by mail.
11
Keep a copy of the filled-out form for your records.
Who needs excellus bcbs optional supplemental?
01
Anyone who already has an Excellus BCBS policy and wants to enhance their coverage or add optional supplemental benefits can benefit from the Excellus BCBS optional supplemental form.
02
This form provides a way for policyholders to customize their coverage and include additional benefits that may not be part of their base policy.
03
Individuals who have specific health needs or requirements can also use the optional supplemental form to tailor their coverage accordingly.
04
It is recommended to consult with an Excellus BCBS representative or healthcare professional to determine if the optional supplemental form is suitable for your needs.
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