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EMPLOYEE MEDICAL INFORMATION | |||||||||||||||||||||||
♦Prescription Fax Form (must be faxed from physician's office
SCHEDULE OF BENEFITS / MEDICAL MUTUAL
♦ American Fidelity Reimbursement Flex Claim Form ♦Medical Enrollment Form
♦Trustmark Dental Enrollment Form (effective Jan. 2020) ♦Medicare Part D Prescription Drug Coverage ♦Medical Mutual Claim Reimbursement Form ♦EyeMed Enrollment/Change Form
Insurance / Medical Contact Info
Medical Mutual questions/problems:
Customer Care 800-585-2583
To find providers:
MedMutual.com
CVS questions/problems:
Customer Care 888-865-6584
www.caremark.com
Trustmark Dental questions/problems:
800-282-3920
Eyemed questions/problems:
800-521-3605
Or Eyemed.com
If your issue is not resolved by first using the numbers/websites above, please call Mark Dickerhoof ♦PPO Network Comprehensive Major Medical Health Care Benefits |
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STUDENT ACTIVITY GUIDELINES ♦Student Activity Guidelines |
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