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  • Ca Santa Clara Family Health Plan 50189e 2018

Get Ca Santa Clara Family Health Plan 50189e 2018-2025

Authorized Representative Form can choose to have a person be your representative to communicate with Santa Clara Family Health Plan (SCRAP) on your behalf. Your personal representative may act for.

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If you're sent a renewal form, submit your information by mail, phone, in-person, or online, so you don't lose your coverage. Create or check your online account — Covered California or BenefitsCal to sign up to get text or email alerts about your case. You may submit renewals or requested information online.

Call Customer Service at 1-800-260-2055 (TTY: 711), 8:30 a.m. to 5 p.m., Monday through Friday. Or read the SCFHP Medi-Cal Member Handbook in Forms & Documents. Enroll today!

SCFHP offers DualConnect, a Dual Eligible Special Needs Plan (HMO D-SNP), for individuals who are entitled to both Medicare and Medi-Cal. SCFHP DualConnect coordinates all your Medicare and Medi-Cal benefits – and even Medicare Part D drug benefits – so you don't have to do the juggling.

We provide access to healthcare for individuals and families in Santa Clara County, including affordable health insurance coverage through California's Medicaid program, known as Medi-Cal.

Santa Clara Family Health Plan is a health plan for people who have Medi-Cal. Santa Clara Family Health Plan works with the State of California to help you get the health care you need. Kaiser Permanente is your health care provider through Santa Clara Family Health Plan.

SCFHP requires claims to be submitted within one year of the date of service.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232