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Appeal of Determination for Extra Help with Medicare Prescription Drug Plan Costs. Section 1860 D-14 of the Social Security Act authorizes the collection of information requested on this form. The information you provide will be used to
Appeal of Determination for Extra Help with Medicare Prescription Drug Plan Costs. Section 1860 D-14 of the Social Security Act authorizes the collection of information requested on this form. The information you provide will be used to
The document is an appeal form (SSA-1021) for individuals seeking Extra Help with Medicare Prescription Drug Plan costs. ...
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