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Application for Medicare Supplement Insurance National Health Insurance Company PO Box 95464, Cleveland, OH 44101 Toll free telephone: (888) 9662345 www.natgenhealth.com Fax: (888) 3443232 New Business
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Obtain the Medicare application form from the Ohio Department of Insurance website or office.
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Complete the form accurately with your personal information, including name, address, Social Security number, and date of birth.
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Provide information about your current insurance coverage, including the policy number and whether it is employer-sponsored.
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Check the box for the type of Medicare coverage you are applying for (Part A, Part B, or both).
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Sign and date the form, and submit it to the Ohio Department of Insurance by mail or in person.

Who needs medicare - ohio department?

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Individuals who are eligible for Medicare benefits and reside in Ohio.
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Ohio residents who are approaching age 65 and would like to enroll in Medicare for the first time.
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People with disabilities who qualify for Medicare benefits in Ohio.
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Medicare in Ohio is a federal health insurance program that provides coverage for individuals aged 65 and older, as well as certain younger individuals with disabilities or specific diseases.
Individuals who are eligible for Medicare benefits, including those who are aged 65 and older or younger individuals with disabilities, may be required to file Medicare if they wish to enroll in or receive benefits from the program.
To fill out Medicare forms in Ohio, individuals can visit the official Medicare website, use the online application, or complete a paper application and submit it to the Social Security Administration.
The purpose of Medicare is to provide health insurance coverage for senior citizens and eligible individuals with disabilities, helping to cover medical expenses such as hospital stays, doctor visits, and preventive care.
Individuals must report personal information including their Social Security number, date of birth, employment history, and any existing health coverage or conditions when applying for Medicare.
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