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ADVANTAGE SUMMARY OF BENEFITS PLATINO ENLACE (HMO-SNP) 2020 PLATINO ENLACE (HMO-SNP) ABOUT THIS PLAN Platino Enlace (HMO-SNP) is a Medicare… (Search: 1 in body, 1 in title, 1 in categories, 1 in tags, 1 in other taxonomies, 1 in comments. Score: 20.5)

This form may be sent to us by mail or fax: Address: Fax Number: Att. Clinical Dept. Abarca Health LLC… (Search: 1 in body, 1 in title, 1 in categories, 1 in tags, 1 in other taxonomies, 1 in comments. Score: 20.5)

Y0082_19CI332S_C Esta solicitud puede ser enviada vía fax o correo postal a: Dirección: Número de fax: Att. Dpto. Clínico Abarca… (Search: 1 in body, 1 in title, 1 in categories, 1 in tags, 1 in other taxonomies, 1 in comments. Score: 20.5)

Y0082_19CI330S_C Para procesar su solicitud a tiempo: • Se requiere recibo original de la farmacia. • Se sugiere incluya copia… (Search: 1 in body, 1 in title, 1 in categories, 1 in tags, 1 in other taxonomies, 1 in comments. Score: 20.5)

Y0082_19CI330E_C In order to process your request as timely as possible. ▪ The pharmacy’s original invoice/receipt is required. ▪ We… (Search: 1 in body, 1 in title, 1 in categories, 1 in tags, 1 in other taxonomies, 1 in comments. Score: 20.5)

SOLICITUD DE AFILIACIÓN PLATINO 2020 ADVANTAGE PARA AFILIARSE A TRIPLE-S ADVANTAGE, POR FAVOR PROVEA LA SIGUIENTE INFORMACIÓN: # Boleta: _______________… (Search: 1 in body, 1 in title, 1 in categories, 1 in tags, 1 in other taxonomies, 1 in comments. Score: 20.5)

ADVANTAGE 2020 PLATINO ENROLLMENT FORM Scope of Appointment #: _______________ ON BASE ID: _______________ Please contact Triple-S Advantage if you… (Search: 1 in body, 1 in title, 1 in categories, 1 in tags, 1 in other taxonomies, 1 in comments. Score: 20.5)

ADVANTAGE SOLICITUD DE AFILIACIÓN INDIVIDUAL 2020 # Boleta: _______________ ON BASE ID: _______________ Favor de comunicarse con Triple-S Advantage si… (Search: 1 in body, 1 in title, 1 in categories, 1 in tags, 1 in other taxonomies, 1 in comments. Score: 20.5)