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Prominence Extra Help Annual Notice of Changes for 20251Prominence Extra Help (HMO) offered by Prominence Health Plan in South TexasAnnual Notice of Changes for 2025 You are currently enrolled as
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How to fill out prominence extra help annual

01
Gather all necessary income documentation, such as pay stubs or tax returns.
02
Obtain the Prominence Extra Help Annual application form from the official website or local office.
03
Fill out personal information, including name, address, and Social Security number.
04
Report all sources of income accurately on the form.
05
Provide information regarding any additional assistance or resources you may be receiving.
06
Review the completed form for accuracy and completeness.
07
Submit the application either online or by mailing it to the appropriate address provided.

Who needs prominence extra help annual?

01
Individuals or families with low income seeking financial assistance for health care costs.
02
Seniors who are eligible for Medicare and require extra help with prescription drug costs.
03
People with disabilities who meet income guidelines and need support for their health needs.
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Prominence Extra Help Annual is a report that provides information on income and resources for individuals who seek assistance with their Medicare costs.
Individuals who receive Extra Help for Medicare or those who want to apply for it are required to file the Prominence Extra Help Annual.
To fill out the Prominence Extra Help Annual, you need to gather your income and resource information, complete the application form, and submit it by the specified deadline.
The purpose of the Prominence Extra Help Annual is to verify eligibility for additional financial assistance with Medicare expenses and ensure that recipients continue to qualify.
The report must include personal identification details, income sources, resource levels, and any changes in your financial situation since the last filing.
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