Learn what Medicare is, how it works, and the coverage options available to you with these short, informative videos.
Open video transcripts (4 videos, 17:18)
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You have the right to appoint someone to act on your behalf. You can name a relative, friend, advocate, doctor or anyone else to be your appointed representative. This appointed representative may request a coverage determination on your behalf, as well as file a grievance or appeal.
If you want someone to act for you, you and that person must complete an Appointment of Representative form. Download the Appointment of Representative form (PDF).
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Please note: You don’t have to appoint your prescribing physician to act on your behalf in requesting an initial coverage determination. Enter your name (as beneficiary) and Medicare number in the top two spaces of the form.
– To be completed by the beneficiary (plan member):
– To be completed by the appointed representative
– This section should be filled out if the representative waives a fee for such representation. If the representative is a provider or supplier of medical services, he or she must complete this section:
– If the person you appoint as a representative is a provider who has already provided services to you, he or she must complete this section waiving the right to charge you for the services. Providers or suppliers must sign and date the form in Section IV.
Mail completed forms to:
Attn: Customer Service DepartmentUnexpected illnesses or accidents can create confusion around important medical decisions. Under the Durable Power of Attorney and Designation of Patient Advocate Act, you have the right to appoint a representative to make decisions about your care, custody and medical treatment. By doing so now, you can make sure you're prepared in case you’re ever unable to make these decisions on your own.
Learn more about your medical rights (PDF).
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Learn what Medicare is, how it works, and the coverage options available to you with these short, informative videos.
Open video transcripts (4 videos, 17:18)
Join a HAP Medicare Expert for an introduction to the basics of Medicare. This webinar will go over the parts of Medicare, explain the different
Join a HAP Medicare Expert for an introduction to the basics of Medicare. This webinar will go over the parts of Medicare, explain the different
Join a HAP Medicare Expert for an introduction to the basics of Medicare. This webinar will go over the parts of Medicare, explain the different
Join a HAP Medicare Expert for an introduction to the basics of Medicare. This webinar will go over the parts of Medicare, explain the different
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Health Alliance Plan (HAP) has HMO, HMO-POS, PPO plans with Medicare contracts. HAP Empowered Duals (HMO SNP) is a Medicare health plan with a Medicare contract and a contract with the Michigan Medicaid Program. Enrollment depends on contract renewals.
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