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Page 1 of 82024 Enrollment Request Form o AARP Medicare Advantage from UHC MI0005 (PPO) H0294021000 Information about you (Please type or print in black or blue ink) Last nameFirst rebirth date Home
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Gather all necessary documents such as identification proof, income proof, proof of residency, and medical history.
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Michigan Medicaid D-SNP (Dual Special Needs Plan) is a type of health insurance plan specifically designed for individuals who are eligible for both Medicare and Medicaid. It provides additional benefits and tailored services to meet the unique needs of these beneficiaries.
Individuals who are eligible for both Medicare and Medicaid, including seniors and individuals with disabilities, are required to file for Michigan Medicaid D-SNP.
To fill out Michigan Medicaid D-SNP, individuals must complete an application that includes personal information, medical history, and financial details. This can typically be done online, over the phone, or through a paper application.
The purpose of Michigan Medicaid D-SNP is to provide coordinated healthcare services for those eligible for both Medicare and Medicaid, ensuring enhanced access to medical care, support services, and managing chronic conditions.
When filing for Michigan Medicaid D-SNP, individuals must report personal identification information, income, asset details, current health status, and any other relevant medical or financial data.
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