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Pharmacy Provider ManualLast Updated: 1/1/20171Table of Contents 1.0 General Overview 1.1 Confidentiality Statement 1.2 Pharmacy Requirements 2.0 Contact Information 2.1 SelectHealth Pharmacy Help
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To fill out the Molina Dual Options STAR form, follow these steps:
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Start by grabbing a copy of the form. You can usually find it on the Molina Dual Options website or request it from their customer service.
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Read the instructions carefully to understand the purpose of each section and the required information.
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Begin filling out the form by providing your personal details, such as name, address, date of birth, and contact information.
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Move on to the next section where you will need to provide information about your health coverage, including your Molina Dual Options member ID.
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Carefully answer the questions regarding your eligibility for the program and any additional benefits you may qualify for.
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If applicable, provide the necessary information about your current health insurance coverage, Medicaid status, or any other programs you are enrolled in.
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Double-check all the information you have filled in to ensure accuracy and completeness.
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Sign and date the form in the designated areas.
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Make a copy of the completed form for your records and submit the original to Molina Dual Options following their specified submission methods.

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Molina Dual Options STAR is specifically designed for individuals who meet the eligibility criteria for both Medicare and Medicaid.
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People who require comprehensive healthcare coverage but qualify for both government programs may benefit from Molina Dual Options STAR.
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This program offers a coordinated care approach by combining the benefits and services of Medicare and Medicaid into a single plan.
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Individuals with complex medical needs, chronic conditions, or disabilities may find Molina Dual Options STAR particularly helpful.
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Molina Dual Options Star is a program that provides healthcare coverage for individuals who are eligible for both Medicare and Medicaid, offering a comprehensive range of medical services and support.
Individuals who are enrolled in the Molina Dual Options Star plan and meet specific income and eligibility criteria are required to file for this program.
To fill out the Molina Dual Options Star application, you need to provide personal information, income details, and documentation of Medicare and Medicaid eligibility, which can typically be done online or via paper application.
The purpose of Molina Dual Options Star is to streamline healthcare services for dual-eligible individuals, ensuring they receive necessary medical care while simplifying the process of navigating both Medicare and Medicaid.
When filing the Molina Dual Options Star, you must report personal identification information, income levels, existing healthcare coverage details, and any other relevant documentation.
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