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Cigna TotalCare (HMO DSNP) offered by Cigna HealthcareANNUAL NOTICE OF CHANGES FOR 2024 You are currently enrolled as a member of Cigna TotalCare (HMO DSNP). Next year, there will be changes to the
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To fill out the Cigna TotalCare D-SNP H4513-060-2 form, follow these steps:
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Start by providing your personal information, including your name, address, and contact details.
03
Indicate your Medicare number and the effective date of your Medicare coverage.
04
Verify your eligibility for Cigna TotalCare D-SNP by answering the required questions.
05
Provide information about your current health insurance coverage, if applicable.
06
Review the benefits and services offered by Cigna TotalCare D-SNP and select the options that meet your needs.
07
Indicate your preferred primary care physician.
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If you have any special health conditions or require additional services, provide details as requested.
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Review the completed form to ensure all information is accurate and complete.
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Sign and date the form to certify that the information provided is true and correct.
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Submit the filled-out form to Cigna TotalCare D-SNP for processing.

Who needs cigna totalcare d-snp h4513-060-2?

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Cigna TotalCare D-SNP H4513-060-2 is designed for individuals who meet the following criteria:
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- Enrolled in Medicare Part A and Part B
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- Eligible for both Medicare and Medicaid (dual eligible)
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- Reside in the service area covered by Cigna TotalCare D-SNP
05
This plan is suitable for people who require comprehensive healthcare coverage and additional benefits beyond what original Medicare provides. It offers a range of services and support to enhance the overall healthcare experience.
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Cigna TotalCare D-SNP H4513-060-2 is a Medicare Advantage plan specifically designed for individuals who are eligible for both Medicare and Medicaid, providing additional benefits tailored to the needs of dual-eligible beneficiaries.
Individuals who are enrolled in the Cigna TotalCare D-SNP plan and are required to report their healthcare details as per the guidelines set for dual-eligible members must file the documentation.
To fill out the Cigna TotalCare D-SNP H4513-060-2 form, individuals should provide their personal information, details about their Medicare and Medicaid benefits, and any required documentation to verify eligibility.
The purpose of the Cigna TotalCare D-SNP H4513-060-2 is to offer tailored healthcare services to dual-eligible individuals, ensuring they receive appropriate medical care and additional benefits that assist with their healthcare needs.
Information that must be reported includes personal identification details, Medicare and Medicaid information, current healthcare conditions, and any relevant medical history to ensure accurate coverage and benefits.
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