H0148 16 006 MS PassiveLA 2016 MMP Welcome Letter LA-Final Clean B&W Copy 8.3.2015-2025

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The document is a notification of enrollment in the Care1st Cal MediConnect Plan, which combines Medicare and Medi-Cal services for seamless healthcare coverage at no extra cost. It outlines the benefits included in the plan, such as Medicare and Medi-Cal benefits, access to a network of providers, additional services like vision care and transportation, and details on how to choose a primary care provider. The letter also provides information on co-pays for prescription drugs, options for transitioning care, and contact information for member services.

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Click ‘Get Form’ to open the H0148 16 006 MS PassiveLA 2016 MMP Welcome Letter in our editor.
Begin by entering your personal information at the top of the form, including your name, address, and member number.
Fill in the RxID, RxGRP, RxBIN, and RxPCN fields as provided in your enrollment documents.
Review the important coverage details outlined in the letter to ensure you understand your new plan benefits.
If applicable, indicate any preferences for primary care providers by selecting from the options available within our platform.
Once all fields are completed, save your document and download it for your records or print it directly from our editor.

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