
Get the free CY 2023 Model MA Indiv Enrollment Request Form 0938-1378
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OMB No. 09381378 Expires: 07/31/20242023 MEDICARE ADVANTAGE ENROLLMENT REQUEST FORM Who can use this form? What happens next? People with Medicare who want to join a Medicare Advantage Playsuit your
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Individuals who are eligible for Medicare Advantage plans for the calendar year 2023 would need to fill out the CY 2023 model MA form. This form is typically required for enrollment or changes to existing plans.
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What is cy model ma indiv?
Cy model ma indiv refers to the Country-by-Country Reporting (CbCR) model for individual entities.
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