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Get WW-HRA-PMB-FORD 2009-2022

Ear before it becomes effective) or any other Medicare statement that clearly indicates your Medicare B, C or D premiums. If the cost is not deducted from your Social Security Check, please fill out Section 2 (Health Care Premiums Not Deducted from Your Social Security Check) on the claim form in order to be reimbursed. You will be reimbursed on a pro-rated monthly basis based on your annual premiums and will not exceed the current balance in your account. Section 2 – Health Care Premiums Not.

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