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UC MEDICARE CHOICE ENROLLMENT FORM
UBEN 121 (R11/22) University of California Human ResourcesMail white copy to:
UC RASC
P.O. Box 24570
Oakland, CA 946231570
OR fax to: 8007925178This Enrollment Form
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How to fill out uc medicare choice enrollment
How to fill out uc medicare choice enrollment
01
Visit the official UC Medicare Choice Enrollment website
02
Create an account or log in with your existing account
03
Follow the on-screen instructions to select your desired Medicare choice plan
04
Fill out the necessary personal and medical information accurately
05
Review and submit your enrollment form
Who needs uc medicare choice enrollment?
01
Any individual who is eligible for Medicare and wants to enroll in a UC Medicare choice plan
02
Current UC employees or retirees looking to switch or enroll in a Medicare plan
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What is uc medicare choice enrollment?
UC Medicare Choice Enrollment is a program that allows eligible University of California retirees to enroll in a Medicare Advantage plan that provides healthcare coverage tailored to meet their needs.
Who is required to file uc medicare choice enrollment?
Eligible retirees of the University of California who are enrolled in Medicare and wish to participate in the UC Medicare Choice plan are required to file for UC Medicare Choice Enrollment.
How to fill out uc medicare choice enrollment?
To fill out the UC Medicare Choice Enrollment, retirees must complete the enrollment form, provide necessary personal and health information, and submit it to the appropriate UC benefits office before the enrollment deadline.
What is the purpose of uc medicare choice enrollment?
The purpose of UC Medicare Choice Enrollment is to provide eligible retirees with access to coordinated healthcare services and additional benefits beyond what is offered by traditional Medicare.
What information must be reported on uc medicare choice enrollment?
On the UC Medicare Choice Enrollment application, retirees must report personal information including their Medicare number, date of birth, contact information, and details about any other health insurance coverage.
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