AARP Medicare Supplement Application - Colorado Health Agents

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Hello, Thank you for your interest in the AARP ® Medicare Supplement Insurance Plans, insured by UnitedHealthcare Insurance Company. Inside this booklet, you will find everything you need to choose and enroll in the plan that best meets your needs. The material in the booklet is arranged in three sections: • Rates – Use this section to find the rates for each plan, as well as instructions on how to determine which rates apply to you. • Eligibility & Benefits – This is where you’ll find a side-by-side overview of the benefits included in each plan, as well as detailed descriptions of each plan and the benefits it offers. The overview can help you choose the plan that best fits your specific needs. • Enrollment Forms – This section contains everything you need to enroll in one of these plans, including a handy checklist explaining each form. Your Sales Representative (who is a licensed insurance agent contracted with UnitedHealthcare) will review the information with you and answer any questions you may have. Once you’ve chosen the plan that’s best for your needs and budget, your Sales Representative can help you complete and submit the Application Form, along with the first month’s premium. If you have any questions – or think of some later – please feel free to call your Sales Representative. You can also call toll-free: 1-866-387-7550 any weekday from 7 a.m. to 11 p.m. and Saturdays from 9 a.m. to 5 p.m., Eastern Time. Sincerely, • Choose your own doctor who accepts Medicare patients • No referrals for specialists who accept Medicare patients • Helps pay some or all of the costs that Medicare doesnʼt Susan Morisato, President, Insurance Solutions UnitedHealthcare Insurance Company P.S. If you’re not currently an AARP member, remember to join. The AARP Membership form includes options: You can join online, by phone or by including the form and separate check for the annual Membership dues with your application. > Important disclosure on back LA26085ST 0000001 0000003 0005 0074 UMS1129 01 L
Page 1 and 2: Colorado AARP Medicare Supplement I
Page 3: Instructions Page Please Read Befor
Page 7 and 8: Your Plans and Rates AARP ® Medica
Page 9 and 10: Cover Page - Rates for Colorado - A
Page 25 and 26: Outline of Coverage | UnitedHealthc
Page 27 and 28: Your Guide to AARP Medicare Supplem
Page 51 and 52: Your Exclusive Member Services. Get
Page 53 and 54: Enrollment Checklist In the followi
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Application Form AARP ® Medicare S
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5 Answer these health questions to
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7 Tell us about your past and curre
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8 Authorization and Verification of
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AARP membership offers so much for
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Save $24 a year with the Electronic
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Save $24 a year with the Electronic
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NOTICE TO APPLICANT REGARDING REPLA
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Thank You for Applying for an AARP
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AARP Medicare Supplement Application - Colorado Health Agents

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