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OMB No. 09381378 Expires: 7/31/20232022 Enrollment Request Form Use this form to enroll in a Mary Washington Medicare Advantage plan Who can use this form? People with Medicare who want to join a
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How to fill out mary washington medicare advantage

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How to fill out mary washington medicare advantage

01
Gather all necessary personal and health information, such as your Social Security number, Medicare card, and information about any other health insurance coverage you may have.
02
Contact Mary Washington Medicare Advantage or visit their website to obtain the necessary enrollment forms.
03
Read through the enrollment forms carefully and provide accurate information.
04
Fill out the required sections of the enrollment forms, including personal details, contact information, and health insurance information.
05
Review your completed enrollment forms to ensure all information is correct and complete.
06
Sign and date the enrollment forms as required.
07
Submit the completed enrollment forms to Mary Washington Medicare Advantage by mail or online, following their instructions.
08
Wait for confirmation from Mary Washington Medicare Advantage regarding your enrollment status.
09
If approved, you will receive further information and materials about your Mary Washington Medicare Advantage coverage.
10
Keep a copy of all submitted documents for your records.

Who needs mary washington medicare advantage?

01
Anyone who is eligible for Medicare and is looking for additional benefits beyond what traditional Medicare provides may consider Mary Washington Medicare Advantage.
02
Individuals who prefer to have their healthcare services coordinated by a single provider network and want access to a wide range of doctors and hospitals may find Mary Washington Medicare Advantage beneficial.
03
Those who require prescription drug coverage, preventive services, and additional benefits like dental, vision, or hearing coverage may also be interested in Mary Washington Medicare Advantage.
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It is important to review the specific benefits and coverage options offered by Mary Washington Medicare Advantage to determine if it meets your individual healthcare needs.
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Mary Washington Medicare Advantage is a type of Medicare plan offered by Mary Washington Healthcare that provides additional benefits beyond Original Medicare.
Individuals who are eligible for Medicare and choose to enroll in a Mary Washington Medicare Advantage plan are required to file.
To fill out Mary Washington Medicare Advantage, individuals must provide personal information, select coverage options, and enroll during the appropriate enrollment period.
The purpose of Mary Washington Medicare Advantage is to offer Medicare beneficiaries an alternative to Original Medicare that includes additional benefits such as prescription drug coverage and wellness programs.
Information such as personal details, coverage options selected, and enrollment dates must be reported on Mary Washington Medicare Advantage.
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