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Application Process

  1. Complete and sign: Enrollment Form, Quick Pay  for (if needed), Documentation of Authorized Representative (POA) if applicable
  2. Provide a copy of: Medicare ID card, LIS Letter if applicable, DMAP ID card if applicable, Letter of Credible coverage if applicable
  3. Once FamilyCare receives and verifies the enrollment you will receive a confirmation from Medicare.

 

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FamilyCare is a Medicare Advantage organization with a Medicare contract and a contract with the Oregon Medicaid program.
FamilyCare Health Plans
825 NE Multnomah, Suite 300
Portland, Oregon 97232 - 1.800.458.9518

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10/03/2012
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