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HEALTH BENEFITS ENROLLMENT APPLICATION: RETIREE AND DEPENDENT(S) NOT YET ELIGIBLE FOR MEDICARE FOR JANUARYDECEMBER 2024 PLAN YEAR MF Retiree ApplicationYou must submit a completed enrollment application
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Gather all necessary information about your current Medicare coverage.
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Individuals who are enrolled in Medicare and want to understand how it affects their healthcare costs and coverage.
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Medicare can affect your healthcare coverage and costs depending on your eligibility and the specific plans you choose.
Individuals who are enrolled in Medicare or are eligible to enroll in Medicare are required to report how it affects their healthcare coverage.
You can fill out how Medicare affects you by carefully reviewing your plan options, understanding your coverage, and making informed decisions based on your healthcare needs and budget.
The purpose of reporting how Medicare affects you is to ensure that you are making the best choices for your healthcare coverage and costs based on your personal situation.
You must report details about your current healthcare coverage, any changes in your medical needs, and any upcoming healthcare expenses that may impact your Medicare coverage decisions.
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