Allina partners care application form 2026

1. Click ‘Get Form’ to open the allina partners care application form in the editor.
2. Begin by filling in your personal information, including your name, date of birth, and contact details. Ensure accuracy as this information is crucial for processing your application.
3. In the Medicare Information section, indicate who is applying by selecting either 'Self' or 'Spouse'. Fill in the required Medicare health insurance details as per your red, white & blue Medicare card.
4. Complete the Financial Information section by listing your current monthly income and assets. Attach proof of income and assets from the past 30 days to support your application.
5. Provide details about your health care providers in the designated section. This helps ensure you are connected with participating providers.
6. Read through the Statement of Understanding carefully. Sign and date where indicated to confirm that you understand the terms of enrollment.
7. Finally, review all sections for completeness before submitting your application to ensure a smooth process.

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