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Online Forms

LEP Reconsideration Request Form
Drug Reconsideration Request Form
Health Questionniare
Part B request for employer information
Medicare Part B EFT document (used to have your Part B premiums drafted out of your checking account when you aren’t drawing SS)
1-800-MEDICARE Power of Attorney (used to let a 3rd party discuss information with Medicare over the phone only) Comes in handy with a spouse or if you help a parent
More Info on UHC Downloadable
United Healthcare
Online Form UHC More Info