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Summary of Benefits Medicare Advantage and Part D Plan year: January 1 December 31, 2023California Kern countyAnthem Edible Plus (HMO) 23CAH0544062Thank you for your interest in our Medicare Advantage
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01
Obtain a copy of the summary of benefits form from your employer or healthcare provider.
02
Read through the form carefully, paying attention to the different sections and instructions.
03
Fill in your personal information, such as your name, date of birth, and member ID number.
04
Review the different benefit options listed on the form and select the ones that apply to you.
05
Provide information about any dependents or family members that are covered under your plan.
06
Double check your work for accuracy and completeness before submitting the form.

Who needs summary of benefits for?

01
Anyone who is enrolled in a health insurance plan or benefits program.
02
Employers who offer health benefits to their employees.
03
Healthcare providers who need to communicate benefit information to patients.
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Summary of benefits is for providing a concise overview of the benefits available under a health insurance plan.
Health insurance companies and group health plans are required to file summary of benefits.
Summary of benefits can be filled out by providing details on the covered benefits, cost-sharing requirements, and contact information for the plan.
The purpose of summary of benefits is to inform individuals about the key features of their health insurance coverage.
Key information such as covered benefits, cost-sharing requirements, and contact information for the plan must be reported on summary of benefits.
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