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MEDICARE FORM () Specialty Medication Recertification Requestor Illinois MMP: FAX: 18553208445 PHONE: 18666002139Page 1 of 3 (Please return Pages 1 to 3 for recertification of medications.) Note:
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To fill out Aetna RX - Illinois, follow these steps:
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Gather all necessary information such as your personal details, including name, date of birth, and address.
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Contact Aetna RX by phone or online to request an application form.
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Fill out the application form accurately and completely. Provide all required information, such as your health insurance information, prescription drug needs, and preferred pharmacy.
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Wait for a confirmation or approval notification from Aetna RX. This notification will inform you about your enrollment and provide details on how to access your prescription drug coverage.

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Anyone residing in Illinois who requires prescription drug coverage can benefit from Aetna RX - Illinois. This includes individuals who have a chronic illness, take regular medications, or those who want to have insurance coverage for unexpected prescription drug costs. It is especially beneficial for individuals who have an Aetna health insurance plan and want to ensure comprehensive coverage for their prescription medications in the state of Illinois.
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Aetna Rx- Illinois is a prescription drug plan offered by Aetna for residents of Illinois.
Individuals who are enrolled in the Aetna Rx- Illinois plan are required to file claims for their prescription drug expenses.
To fill out the Aetna Rx- Illinois claim form, you will need to provide information such as the date of service, prescription details, and pharmacy information.
The purpose of Aetna Rx- Illinois is to provide prescription drug coverage to residents of Illinois and help them save on their medication expenses.
Information such as the date of service, prescription details, pharmacy information, and any out-of-pocket expenses must be reported on Aetna Rx- Illinois.
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