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Summary of Benefits Medicare Advantage and Part D Plan year: January 1 December 31, 2021Texas Select counties in Texas. See page 2 for a full list of counties. Amerivantage Dual Coordination (HMO
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To fill out Medicare Advantage and Part forms, follow these steps:
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Gather the necessary documents, such as your Medicare card, personal identification information, and any other relevant documents.
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Start by filling out your personal information, including your name, contact details, and Medicare identification number.
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Proceed to provide details about your current Medicare coverage.
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If you are applying for Medicare Advantage, indicate your preferred plan options and any additional coverage you may need.
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Complete the medical history section, including information about your current health conditions, medications, and any recent hospitalizations or surgeries.
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Sign and date the form where required.
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Make a copy of the filled-out form for your records and submit the original form as per the instructions provided.
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For any questions or assistance, contact Medicare or a Medicare agent.

Who needs medicare advantage and part?

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Medicare Advantage and Part are generally needed by individuals who meet the following criteria:
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Medicare Advantage is an all-in-one alternative to Original Medicare. It includes Part A (hospital insurance) and Part B (medical insurance) coverage, and often includes Part D (prescription drug coverage) as well.
Individuals who are eligible for Medicare need to enroll in Medicare Advantage or Original Medicare (Parts A and B).
To enroll in Medicare Advantage, individuals can visit the official Medicare website or contact a licensed insurance agent for assistance.
The purpose of Medicare Advantage is to provide comprehensive health coverage for Medicare beneficiaries, often including additional benefits not covered by Original Medicare.
Basic personal information, including name, address, date of birth, and Medicare ID, as well as information on coverage selections and beneficiaries.
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