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Page 1 of 72023 Enrollment Request Form o UnitedHealthcare Dual Complete Select (HMO POS DSP) H0432013000 UE2Information about you (Please type or print in black or blue ink) Last NameFirst Rebirth
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How to fill out unitedhealthcare dual complete select

01
Contact UnitedHealthcare to confirm your eligibility for Dual Complete Select plan.
02
Gather necessary personal information such as Social Security number, Medicare identification number, and income details.
03
Review the coverage options and benefits provided by the Dual Complete Select plan.
04
Fill out the enrollment form accurately and completely.
05
Submit the form to UnitedHealthcare either online, by mail, or over the phone.
06
Wait for confirmation of enrollment and start utilizing the benefits of the Dual Complete Select plan.

Who needs unitedhealthcare dual complete select?

01
Individuals who are eligible for both Medicare and Medicaid may need UnitedHealthcare Dual Complete Select plan.
02
People who are looking for comprehensive coverage that includes both medical and prescription drug benefits.
03
Those who want to simplify their healthcare coverage by opting for a single plan that combines Medicare and Medicaid benefits.
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UnitedHealthcare Dual Complete Select is a type of health insurance plan that provides coverage for individuals who are eligible for both Medicare and Medicaid.
Individuals who are eligible for both Medicare and Medicaid are required to enroll in UnitedHealthcare Dual Complete Select if they want to receive coverage.
To fill out UnitedHealthcare Dual Complete Select, individuals can contact the UnitedHealthcare customer service line or visit their website to enroll in the plan.
The purpose of UnitedHealthcare Dual Complete Select is to provide comprehensive health coverage to individuals who qualify for both Medicare and Medicaid.
Information such as personal demographics, Medicare and Medicaid eligibility status, and preferences for coverage options must be reported on UnitedHealthcare Dual Complete Select.
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