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Aetna Medicare 2024 Individual Enrollment Request Form Instructions to enroll Online at: Call us at: AetnaMedicare.com 18338596031 or through Medicare (TTY: 711) at Medicare.gov OMB No. 09381378 Expires
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Individuals residing in upstate New York who are interested in enrolling in a Dual Special Needs Plan (DSNP) provided by US24-NYS021.
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us24-nys021-upstate-dsnp accessible pdf is a specific form provided by the state of New York for reporting information related to upstate DSNP (Dual Eligible Special Needs Plan) coverage.
Health insurance companies offering upstate DSNP coverage in New York are required to file the us24-nys021-upstate-dsnp accessible pdf.
The us24-nys021-upstate-dsnp accessible pdf can be filled out electronically or manually, following the instructions provided by the state of New York.
The purpose of us24-nys021-upstate-dsnp accessible pdf is to collect and report information regarding upstate DSNP coverage to the state authorities.
Information such as member enrollment numbers, coverage details, network providers, and other relevant data related to upstate DSNP coverage must be reported on us24-nys021-upstate-dsnp accessible pdf.
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