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Page 1 of 72023 Enrollment Request Form o UnitedHealthcare Dual Complete Choice (PPO DSP) H0271050000 UO7Information about you (Please type or print in black or blue ink) Last NameFirst Rebirth Date Home
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Contact Medicare to confirm eligibility for Medicare Part C.
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Research different Medicare Part C plans available in your area.
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Who needs medicare part c and?

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Individuals who are enrolled in both Medicare Part A and Part B are eligible for Medicare Part C.
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Medicare Part C, also known as Medicare Advantage, is a type of Medicare health plan offered by a private company that contracts with Medicare to provide you with all your Part A and Part B benefits.
Individuals who are eligible for Medicare and want to receive their coverage through a private insurance plan may choose to enroll in Medicare Part C.
You can fill out Medicare Part C enrollment forms online through the official Medicare website, by calling the Medicare helpline, or by contacting the private insurance company offering the plan.
The purpose of Medicare Part C is to give individuals the option to receive their Medicare benefits through a private insurance plan, while still having access to all the benefits covered under Original Medicare (Part A and Part B).
When enrolling in Medicare Part C, you will need to provide personal information such as your name, address, Medicare number, and any other information required by the private insurance company offering the plan.
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