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REQUEST FOR MEDICARE PRESCRIPTION DRUG COVERAGE DETERMINATION This form may be sent to us by mail or fax: Address: Regency Advantage (PPO) Attn: Medicare D Clinical Review 2900 Ames Crossing Road
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01
Gather all necessary personal information such as Social Security number, date of birth, and contact information.
02
Decide if you want Medicare Advantage (Part C) which includes coverage for hospital visits, doctor's appointments, and prescription drugs, or if you want to add Part D for prescription drug coverage to Original Medicare (Parts A and B).
03
Research and compare different Medicare Advantage and Part D plans offered in your area to find one that best fits your needs and budget.
04
Fill out the enrollment application either online, over the phone, or by mailing in a paper application.
05
Double check all information provided on the application for accuracy before submitting.

Who needs medicare advantage and part?

01
Individuals who are eligible for Medicare benefits and are looking for additional coverage beyond Original Medicare (Parts A and B).
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Those who want coverage for services not typically covered by Medicare, such as dental, vision, and hearing care.
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People who want the convenience of having all their medical and prescription drug coverage under one plan.
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Medicare Advantage is a type of Medicare health plan offered by a private company that contracts with Medicare to provide you with all your Part A and Part B benefits. Medicare Part A covers inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care. Medicare Part B covers certain doctors' services, outpatient care, medical supplies, and preventive services.
Individuals who are eligible for Medicare can choose to enroll in either Original Medicare or a Medicare Advantage plan.
To enroll in a Medicare Advantage plan, you can do so during your Initial Enrollment Period, the Annual Election Period, or if you qualify for a Special Enrollment Period.
The purpose of Medicare Advantage is to provide an alternative way for individuals to receive their Medicare benefits through private insurance companies.
Information such as your personal details, Medicare ID, the plan you are choosing, and any additional coverage you may have.
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