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Healthy Blue Medicaid Managed CareOverpayment Refund Notification Form For Healthy Blue to process an overpayment refund in a timely manner, please complete and submit this form with all refund checks
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01
Gather all necessary personal information such as name, address, date of birth, and social security number.
02
Contact the Healthy Blue Dual Advantage customer service to request an enrollment form.
03
Fill out the enrollment form completely and accurately, making sure to provide all required information.
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Review the form to ensure all information is correct and legible.
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Sign and date the form.
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Attach any supporting documents or additional information as required.
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Submit the completed form to Healthy Blue Dual Advantage by mail or fax, following the instructions provided.
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Wait for confirmation of enrollment or contact Healthy Blue Dual Advantage for any further instructions or assistance.

Who needs healthy blue dual advantage?

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Healthy Blue Dual Advantage is designed for individuals who are eligible for both Medicare and Medicaid.
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This plan is ideal for those who want to combine their benefits and receive coordinated care under one comprehensive health insurance plan.
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It is especially beneficial for individuals with chronic conditions or multiple healthcare needs who require specialized care and support.
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Healthy Blue Dual Advantage is a Medicare Advantage plan that offers health coverage for individuals who are eligible for both Medicare and Medicaid.
Individuals who are eligible for both Medicare and Medicaid are required to enroll in a Healthy Blue Dual Advantage plan.
To enroll in Healthy Blue Dual Advantage, individuals can contact the plan directly or go through their state's Medicaid program.
The purpose of Healthy Blue Dual Advantage is to provide comprehensive health coverage for individuals who are eligible for both Medicare and Medicaid.
Information such as medical history, prescription medications, and doctor visits must be reported on Healthy Blue Dual Advantage.
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