Form HCA51-0576 (C) Pebb Medicare Advantage Plan Election Form - Washington

What Is Form HCA51-0576 (C)?

This is a legal form that was released by the Washington State Health Care Authority - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form HCA51-0576?
A: Form HCA51-0576 is the Pebb Medicare Advantage Plan Election Form for residents of Washington.

Q: What is the purpose of Form HCA51-0576?
A: The purpose of Form HCA51-0576 is to elect or make changes to the Pebb Medicare Advantage Plan in Washington.

Q: Who can use Form HCA51-0576?
A: Form HCA51-0576 can be used by residents of Washington who are eligible for the Pebb Medicare Advantage Plan.

Q: What information is required on Form HCA51-0576?
A: Form HCA51-0576 requires personal information, enrollment details, and plan selection information.

Q: When should I submit Form HCA51-0576?
A: Form HCA51-0576 should be submitted during the open enrollment period for the Pebb Medicare Advantage Plan.

Q: Are there any fees associated with Form HCA51-0576?
A: There are no fees associated with submitting Form HCA51-0576.

Q: Can I make changes to my plan after submitting Form HCA51-0576?
A: Yes, you can make changes to your plan by submitting a new Form HCA51-0576 during future open enrollment periods.