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2015 M E D I CA R E A DVA N TAG E Enrollment Application Senior Blue HMO Forever Blue Medicare PPO Optional Supplemental Dental If you have any questions, we're here to help! bcbswny.com/medicare
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Answer all relevant questions: Some applications may include specific questions that require additional information. Take your time to answer these questions accurately and comprehensively. If there are sections that do not apply to you, clearly indicate that by writing "N/A" or "Not Applicable."
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Paper application is for individuals who prefer to submit physical forms instead of using electronic methods.
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Any individual who cannot or chooses not to submit their application electronically may be required to file a paper application.
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Paper applications can be filled out by hand or typed, following the instructions provided in the application form.
What is the purpose of paper application for?
The purpose of paper application is to collect information from individuals in a physical format for record keeping.
What information must be reported on paper application for?
The information required on a paper application may vary depending on the purpose of the application, but typically includes personal details, contact information, and other relevant data.
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