PRINT OUT THIS INFORMATION
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Dear PMRE colleagues:
Please let us know if you are interested in becoming a Health Advocate Plan member. It certainly takes the worry out of arranging for doctors and other medical concerns when facing an emergency situation for yourself and your family. Health Advocate can help you coordinate Medicare and private health insurance, as well as help save you time and money (see information below).
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Return to: PMCT P.O. Box 539 Patchogue, NY 1177 No later than March 12, 2010
Kindly provide the following information (please print):
Name: ___________________________________ Address: __________________________________ __________________________________________ __________________________________________
Phone # ___________________________________
Last 4 digits (ONLY) of Social Security #__________ _______ Yes, I want to sign up for the Health Advocate Service (which includes MAX Fee Negotiator). Enclosed is my check payable to PMCT in the amount of $9.00 which provides for coverage from April 2010 through October 2010.
___________________________ __________________ Signature Date
PMRE will contact you in September of 2010 to see if you would like to extend your Health Advocate coverage from October 2010 to October 2011 at a cost of $18.00 for the year.
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