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PEIA Healthy Tomorrows Pick a PCP Form Plan Year 2016 PEIA ID # (from medical ID card) 7 7 0 0 Policyholder Name: Address City, State, Zip For Plan Year 2016 (July 1, 2015 June 30, 2016), the PEIA.

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Related content

Healthy Tomorrows: Beyond Picking your PCP PEIA's...
Healthy Tomorrows: Beyond Picking your PCP. PEIA's Healthy ... o have your physician...
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Pick a Primary Care Physician(PCP)
PEIA Healthy Tomorrows. Pick a PCP Form. PEIA ID #. (from medical ID card) 7 7 0 0...
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Related links form

CA FL-285 2020 CA CR-112/JV-792 2018 CA GV-700 2019 Medical Power Of Attorney 2016

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This program, called the Comprehensive Care Partnership (CCP) program, is designed to promote quality of care, preventive services and appropriate use of health services to identify health problems early and maintain control of chronic conditions.

The new monthly surcharge of about $147 is applied when spouses of active policyholders from state agencies, colleges, universities and county boards of education are offered insurance coverage through their own employer but choose to get coverage through a plan offered by PEIA.

Average cost of health insurance by family size in West Virginia Family sizeAverage costIndividual and child$1,393Couple, age 40$1,743Family of three (adult couple and a child)$2,265Family of four (adult couple and two children)$2,7861 more row • Sep 5, 2023

OOSWA means Out-of-State with advance approval from UMR.

To qualify you must have PEIA Preferred Provider Benefit Insurance; be 18 years of age or older; have either a body mass index of 25​ or greater, or a waist circumference of 35 inches or more for a woman or 40 inches or more for a man; and be ready to make permanent lifestyle changes.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232