Due to a planned data migration beginning Friday, July 11 at 11:00 p.m., and continuing through Monday, July 14 at 8:00 a.m., you may experience a delay in your information appearing on CareFirst portals. We expect that changes to member data will be reflected on the portals by Tuesday, July 15. Your patience is appreciated.
Change Healthcare notifying individuals of data breach. Learn more here.
Medicare Supplement Apps & Forms: Virginia
| MedPlus | Document |
|---|---|
| Brochure/Rates/Application | Plan Info |
| Broker Acknowledgement Form | CUT9212 |
| Replacement of Coverage Form | CUT9213 |
| Choosing a Medigap Policy: A guide to health insurance for people who have Medicare. |
CMS site |
| Nondiscrimination/Language Assistance Form Please note: It is mandatory to include the Nondiscrimination/Language Assistance Form with the Representative Form |
NDLA |