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Get Regence Blue Shield Medical and/or Dental Deductible Credit Transfer 1997-2024

Regence BlueShield program provides an allowance for deductible amounts credited to your major medical deductible on your prior group medical program. Please list below the total amounts credited to your major medical deductible for this year. (You will also need to attach copies of your Explanation of Benefits from your prior program.) PRIOR GROUP INSURANCE NAME Check type of deductible expense: MEMBERS NAME Medical Date of Birth (List your name and the name of each family member) Dental DE.

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