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Pa enrollment change form

Pa enrollment change form 2025

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The document outlines the enrollment process for health care coverage under the Pennsylvania State System of Higher Education (PASSHE). It includes sections for employees to add or remove dependents, select health plan options, and provide demographic information. The document also details eligibility criteria for dependents, circumstances under which changes can be made outside of open enrollment, and the necessary actions required by employees to maintain accurate coverage.

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How do I change my Medicaid provider in PA?

How do I switch insurance providers? Call Pennsylvania Enrollment Services at 1-800-440-3989. You can also visit PA Enrollment Services. You will need: patients name, address, date of birth and social security number, and which Medicaid plan you want to select.

Is PA Enrollment Services legit?

If you dont pick a provider, one will be assigned to you. PA Enrollment Services is the group contracted by the state to handle enrolling people eligible for medical assistance with providers. So no, not a scam, and if you dont answer them after so long, a provider will be chosen for you.

What is the best Medicaid plan in PA?

Call your state Medicaid office. Youll need to be able to tell the operator your Medicaid ID number, the name of your current plan, and the name of the plan you want to switch to.

How do I change my Medicaid provider?

For general Medicaid questions, visit dhs.pa.gov, call PA Medical Assistance at 1-800-692-7462 or download the new Chartwell DHS Specialty Pharmacy Drug Program brochure here. Other helpful resources can also be found on the Department of Human Services website here.

What is enrollment change?

Enrollment/Change Form means an agreement pursuant to which an Employee may elect to enroll in the Plan, to authorize a new level of payroll deductions, or to stop payroll deductions and withdraw from an Offering Period.

What is the phone number for PA enrollment?

Or call PA Enrollment Services at 1-800-440-3989 (TTY 1-800-618-4225).

Pa enrollment change form 2025

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