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Beacon Health Options San Francisco Health Plan Care Management Referral Form Referral Date: ___ Member Name: ___ Member ID#: ___ DOB: ___ Member Phone #:___ (home) ___ (cell) Parent/Guardian Name:
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How to fill out san francisco health plan
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What is san francisco health plan?
San Francisco Health Plan is a managed care health plan designed for the residents of San Francisco who are eligible for Medi-Cal or Healthy San Francisco.
Who is required to file san francisco health plan?
Employers in San Francisco with 20 or more employees are required to file the San Francisco Health Plan.
How to fill out san francisco health plan?
Employers can fill out the San Francisco Health Plan by providing information about their health care coverage offerings and enrollment data.
What is the purpose of san francisco health plan?
The purpose of the San Francisco Health Plan is to ensure that all eligible residents have access to affordable and comprehensive health care coverage.
What information must be reported on san francisco health plan?
Employers must report information about their health care coverage offerings, enrollment data, and contribution amounts.
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