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Begin by filling out the 'Healthcare Provider Information' section. Enter your CMS Medicare Provider Number, Facility Name, Address, and Administrator’s Name. Ensure all fields are completed accurately.
Provide your contact details including Telephone, FAX, and Email. Specify the Type of Facility and Corporate Affiliation as required.
Indicate the Reason for Application by circling either 'Initial Medicare Certification' or 'Change of Ownership'.
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What is non-creditable prescription drug coverage?
What does Non-Creditable Coverage mean? If you are Medicare-eligible and enrolled in UC Medicare PPO without Prescription Drugs, the plan is not expected to pay out as much as standard Medicare prescription drug coverage pays. Therefore, your coverage is considered Non-Creditable Coverage.
What is the phone number for Mutual of Omaha Medicare Part D?
If you have any questions, please contact Mutual of Omaha Rx at 855-864-6797. Customer Service is available 24 hours a day, 7 days a week.
How long can you go without creditable prescription drug coverage?
Is there a late enrollment penalty if a person waits 1 month after they were first eligible to add Medicare drug coverage? No. A person must be without creditable coverage 63 or more days in a row any time after they were first eligible for Medicare drug coverage to be charged a late enrollment penalty.
Does GoodRx count as creditable coverage?
Creditable coverage is insurance coverage that you can keep instead of Medicare. For your insurance coverage to qualify as creditable, it must have benefits as good if not better than what you get with Medicare.
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