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MEDICARE ADVANTAGE HMO GROUP ENROLLMENT REQUEST FORM 18777493253 Application Processing Center 3310 Fields South Drive Champaign, IL 61822 Please contact Health Alliance Medicares if you need information
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How to fill out know your medicare options

01
Gather all necessary information like personal details, current health coverage, and prescription medications.
02
Visit the Medicare website or call the Medicare helpline to get information on available plans.
03
Compare different Medicare options including Original Medicare, Medicare Advantage, and Medicare Supplement plans.
04
Consider your healthcare needs, budget, and preferences when choosing a plan.
05
Fill out the necessary forms and submit them online, by mail, or in person.
06
Review your plan choice and make any necessary changes during the annual enrollment period.

Who needs know your medicare options?

01
Individuals who are approaching retirement age and are eligible for Medicare
02
Anyone currently enrolled in Medicare who wants to review and potentially change their coverage options
03
Family members or caregivers assisting someone with Medicare coverage decisions

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