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Louisiana District Day Registration Opens: October 1st Registration Deadline: November 1stHEALTH & SAFETY GUIDELINES Due to a combination of concerns surrounding COVID-19 and the impact caused by

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Gather all necessary personal information such as name, address, date of birth, social security number, and contact information.

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Complete all sections of the application form accurately and thoroughly.

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Provide information about your current healthcare coverage and any additional benefits you may be receiving.

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Make sure to sign and date the application before submitting it.

Who needs care1st ca duals application?

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Individuals who are eligible for both Medicare and Medi-Cal benefits.

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Those who are seeking integrated healthcare coverage through Care1st California Duals program.

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What is care1st ca duals application?

The care1st ca duals application is a form that individuals need to fill out in order to apply for the Care1st Duals Special Needs Plan (D-SNP) in California.

Who is required to file care1st ca duals application?

Individuals who are eligible for both Medicare and Medi-Cal (dual eligible) in California are required to file the Care1st ca duals application.

How to fill out care1st ca duals application?

To fill out the Care1st ca duals application, individuals can either complete the form online, by phone, or by mail. They will need to provide personal information, including their Medicare and Medi-Cal details.

What is the purpose of care1st ca duals application?

The purpose of the Care1st ca duals application is to enroll eligible individuals in the Care1st Duals Special Needs Plan (D-SNP) in California, which provides specialized care for individuals with both Medicare and Medi-Cal.

What information must be reported on care1st ca duals application?

The Care1st ca duals application requires individuals to report their personal information, Medicare and Medi-Cal details, and any additional information needed to determine eligibility for the D-SNP.

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