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2022 MEDICARE ELIGIBILITY AFFIDAVIT YOU MUST COMPLETE THIS FORM AND RETURN TO THE EMPLOYEE BENEFITS OFFICE BY November 30th, 2021 TO REMAIN COVERED UNDER THE CITY MEDICAL PLAN IN 2022 The City of
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Review the contract year 2022 Medicare guidelines and requirements.
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Fill in your personal information accurately, including name, address, and Medicare number.
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Be sure to sign and date the contract form before submitting it to the appropriate authority.

Who needs contract year 2022 medicare?

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Individuals who are eligible for Medicare coverage for the year 2022.
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People who want to ensure they have the necessary healthcare coverage for the upcoming year.
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Contract year medicare advantage is a period of time during which Medicare Advantage organizations must submit contracts for their Medicare Advantage plans to the Centers for Medicare & Medicaid Services (CMS) for approval.
Medicare Advantage organizations are required to file contract year medicare advantage.
Contract year medicare advantage can be filled out through the CMS Health Plan Management System (HPMS).
The purpose of contract year medicare advantage is to ensure that Medicare Advantage organizations are complying with CMS regulations and providing high-quality care to beneficiaries.
Contract year medicare advantage must include information about the benefits, network, and quality measures of the Medicare Advantage plans.
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