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Get SSA-1020B-OCR-SM-INST 2012

ATION. You may be eligible to get Extra Help paying for your prescription drugs. The Medicare prescription drug program gives you a choice of prescription plans that offer various types of coverage. In addition, you may be able to get Extra Help to pay for the monthly premiums, annual deductibles, and co-payments related to the Medicare prescription drug program. But before we can help you, you must fill out this application, put it in the enclosed envelope and mail it today. Or you may complet.

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