Premierplans.org

To receive care with your Health Flex Plan, you may visit any …

WEBprovided; or (b) Are part of an employer group of which at least 75 percent of the employees have a family income equal to or less than 300 percent of the federal poverty level and …

Actived: 8 days ago

URL: http://www.premierplans.org/images/healthflex_brochure.pdf

American Care Health Flex Plan

WEB1 American Care Health Flex Plan 11255 SW 211 Street Miami, Florida 33189-2240 Member Services: 1.888.240.6745 INDIVIDUAL SERVICE AGREEMENT THIS …

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Last Name First Name MI DOB AGE M/F Marital Status …

WEBAuthorization Agreement for ACH debits and Credit Card Charges. American Care, Inc. 11255 SW 211 Street, Miami, FL 33189-2240, Tax ID Number 65-0712890. I (We) …

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home [www.premierplans.org]

WEBResources for Independent Plan Reps. Health Flex and Premier Plans Basic Training Review Sheets . Web Sites American Care: www.americancare.com Premier Plan: …

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West Tampa Medical Center

WEBWest` Tampa Medical Center : Access Office Number: 813.514.2777 : Address: 8726 W. Waters Ave. Tampa, FL 33615 : Telephone: For questions regarding appointments

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Arthrocentesis $0 American Care medical centers provider …

WEBPrescriptions drug coverage Basic formulary only (refer to formulary) $4 per prescription Comprehensive formulary plus $4Cost (requires three days advance order and a 90 …

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What is this plan

WEBSouth Florida South Broward Medical Center 6200 Pembroke Road Miramar, FL 33023-2216 (954) 961.7100 North Miami-Dade Medical Center 1521 NW 54th Street

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Discount Medical Plan Organization

WEBDOC-MSV-3.00Individual Member Agreement (Subscriber Contract) 1 American Care, Inc. 11255 SW 211 Street Miami, Florida 33189-2240 Member Services: 1.888.777.2555

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American Care Health Flex Plan

WEBTitle: Microsoft Word - Enrollment Application proposed 2008.doc Author: Janae Thuma Figueroa Created Date: 9/29/2008 11:42:39 AM

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Last Name First Name MI DOB AGE M/F Marital Status …

WEBDOC-MSV-1.00 Enrollment Form SOLICITUD PARA PARTICIPAR EN EL PREMIER PLAN PROGRAM AMERICAN CARE, INC. DISCOUNT MEDICAL PLAN ORGANIZATION …

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