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MEDICARE ADVANTAGE 2019 GROUP ENROLLMENT APPLICATION If you have any questions about our plans, need help filling out this application, or need information in another format (Braille), please call
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How to fill out medicare advantage enrollment

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How to fill out medicare advantage enrollment

01
To fill out Medicare Advantage enrollment, you need to follow these steps:
02
Gather all necessary information such as your Medicare card, Social Security number, and current health insurance information.
03
Visit the official Medicare website or call the Medicare helpline to obtain an application form.
04
Carefully read the instructions provided on the form.
05
Fill out the application form, providing accurate and complete information about yourself, including your name, address, contact details, and Medicare identification number.
06
If you already have Original Medicare, make sure to indicate your choice to switch to a Medicare Advantage plan.
07
Include any additional documents or forms required by your chosen Medicare Advantage plan, such as proof of eligibility or prescription drug coverage.
08
Review your completed application form for any errors or missing information.
09
Sign and date the application form.
10
Submit the completed application form and any additional documents requested by the Medicare Advantage plan through the provided channels, such as mail or online submission.
11
Keep a copy of the application form and any supporting documents for your records.
12
Monitor your mail or online account for updates or notifications regarding your Medicare Advantage enrollment.

Who needs medicare advantage enrollment?

01
Medicare Advantage enrollment is suitable for individuals who meet certain criteria such as:
02
- Being eligible for Medicare Part A and Part B
03
- Residing in the service area of a Medicare Advantage plan
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- Wanting additional benefits beyond what Original Medicare provides, such as prescription drug coverage or dental services
05
- Being willing to follow the rules and restrictions of the chosen Medicare Advantage plan
06
- Being able to afford the plan's premiums, deductibles, and other out-of-pocket costs
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- Having the freedom to choose healthcare providers within the plan's network
08
- Having a desire for coordinated healthcare services under one plan
09
It is recommended to consult with a licensed Medicare agent or the official Medicare website to determine if Medicare Advantage enrollment is suitable for your specific circumstances.
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Medicare Advantage enrollment is when eligible individuals choose to receive their Medicare benefits through a private insurance plan, such as an HMO or PPO, instead of through original Medicare.
Individuals who are eligible for Medicare and want to enroll in a Medicare Advantage plan are required to file Medicare Advantage enrollment.
To fill out Medicare Advantage enrollment, individuals can contact the specific insurance company offering the plan or visit the Medicare website to compare different plans and enroll online.
The purpose of Medicare Advantage enrollment is to give individuals the option to receive their Medicare benefits through private insurance plans that may offer additional coverage and benefits.
Information required on Medicare Advantage enrollment typically includes personal details, Medicare card information, preferred plan choice, and any additional coverage preferences.
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