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A healthier you. That's what we do.2021Enrollment GuideAdvantage Dual SNP (HMO SNP)Medicare Advantage Dual Eligible Special Needs PlanH5742_21WTXPEKR_Contact information Customer Service 1.866.229.4969 TTY:

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How to fill out dual eligible special needs

01

Determine if you are eligible for dual eligible special needs by meeting the criteria for both Medicare and Medicaid.

02

Contact your state's Medicaid agency to get more information and assistance on enrolling in the program.

03

Once approved, work with your healthcare provider to ensure you are receiving all the benefits and services available to you.

Who needs dual eligible special needs?

01

Individuals who qualify for both Medicare and Medicaid benefits are eligible for dual eligible special needs.

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What is dual eligible special needs?

Dual eligible special needs refers to individuals who are eligible for both Medicare and Medicaid benefits.

Who is required to file dual eligible special needs?

Healthcare providers and institutions that provide services to individuals with dual eligible special needs are required to file.

How to fill out dual eligible special needs?

Dual eligible special needs can be filled out through the appropriate forms provided by Medicare and Medicaid.

What is the purpose of dual eligible special needs?

The purpose of dual eligible special needs is to ensure that individuals receive coordinated care and benefits from both Medicare and Medicaid.

What information must be reported on dual eligible special needs?

Information such as the services provided, medications prescribed, and cost of care must be reported on dual eligible special needs.

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