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Medicare Insurance Change Form
Medicare Insurance Change Form
Hi there, please fill out and submit this form to let us know the status of your Medicare insurance during this open enrollment season.
Medicare Insurance Change Form
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    We understand that our recent Medicare changes are difficult. We would like to provide our patients with as much time and resources as possible to help you make the best choice for your healthcare needs.

    What changes do you plan on making during this year's open enrollment, and how can we help make your transition (if any) easier? Please check the box in the next question that best applies to you. Thank you for your cooperation and understanding.

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    Effective January 1, 2020:

    Edinger Medical Group will only accept Medicare Advantage HMO plans. To assure continued care with EMG, you will need to select one of the following Medicare Advantage HMO plans during Open Enrollment 2019:

    AARP United Healthcare
    Aetna Senior HMO
    Blue Shield Inspire
    Humana Gold Plus
    SCAN

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    Please select the box that applies to you:
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    If you still have questions or concerns regarding the recent Medicare changes, please give us a call at 714-965-2536.

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