DHS-4106C-ENG (Health plan enrollment form for people 65 or ... 2025

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4.8 out of 5

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The document is a Health Plan Enrollment Form for individuals aged 65 and older, specifically for enrolling in the Minnesota Senior Health Options (MSHO) program. It collects personal information, Medicare details, and health coverage status, while also providing options for selecting a health plan. The form outlines eligibility requirements, rights and responsibilities of enrollees, and consent for information sharing related to Medicare and Medicaid.

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2023	4.5 Satisfied (26 Votes)
2018	4.8 Satisfied (92 Votes)

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What is the name of the United States government health insurance program for people age 65 or older?

This enrollment form allows individuals to apply for group health and dental coverage. Its designed for employees to provide necessary personal information, dependent details, and coverage choices.

What is the federal health insurance for people over 65?

Medicare is the Federal health insurance program for people 65 years of age or older.