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Mail or Fax to: P.O. Box 30196 Salt Lake City, UT 841300196 Fax: 8014420357 pH#: 8554429940 selecthealth.org/medicareSelectHealth Advantage (HMO) Optional Supplemental Benefits Idaho 2022 Enrollment
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SelectFormalTH Advantage HMO Optional is a type of health insurance plan that offers additional benefits beyond standard Medicare, designed to provide comprehensive coverage for eligible participants.
Individuals who are enrolled in the SelectFormalTH Advantage HMO Optional plan and wish to claim benefits or exemptions are required to file.
To fill out the SelectFormalTH Advantage HMO Optional, you need to complete the required forms provided by the insurance provider, ensuring all personal and health information is accurately detailed.
The purpose of SelectFormalTH Advantage HMO Optional is to enhance healthcare access and affordability for members by providing additional coverage options that complement standard Medicare benefits.
Members must report personal identification information, details of current health conditions, and any prior insurance coverage when completing the SelectFormalTH Advantage HMO Optional filing.
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