Form OHP7209 Request to End Medicare Advantage and Medicare Special Needs Plan Enrollment - Oregon

What Is Form OHP7209?

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

FAQ

Q: What is Form OHP7209?
A: Form OHP7209 is a request to end Medicare Advantage and Medicare Special Needs Plan enrollment in Oregon.

Q: Who can use Form OHP7209?
A: Anyone enrolled in a Medicare Advantage or Medicare Special Needs Plan in Oregon can use Form OHP7209 to request to end their enrollment.

Q: How do I fill out Form OHP7209?
A: You need to provide your personal information, the plan you want to discontinue, the effective date for discontinuation, and your signature to fill out Form OHP7209.

Q: Do I need to submit any supporting documents with Form OHP7209?
A: No, you do not need to submit any supporting documents with Form OHP7209.

Q: How can I submit Form OHP7209?
A: You can submit Form OHP7209 by mailing it to the address provided on the form or by contacting your plan provider for alternative submission methods.