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OvertheCounter (OTC) Catalog Medicare Advantage Plan 2022H5599_CM_75474E_M CMS Accepted 08182021 Well care 2021NY2WCMOTC75474E_0000Please keep this valuable booklet nearby. You'll need it to look
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Medicare Advantage benefits include coverage for medical services not covered by original Medicare, such as dental, vision, and prescription drugs.
Medicare beneficiaries who wish to enroll in a Medicare Advantage plan must file the over-form-counter.
To fill out the over-form-counter, beneficiaries can visit the Medicare website or contact their local Social Security office for assistance.
The purpose of the over-form-counter is to gather information about the Medicare Advantage plan chosen by the beneficiary.
The over-form-counter must include details about the beneficiary's chosen Medicare Advantage plan, as well as personal information.
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