Notice of Privacy Practices This notice describes how medical information about you may be used and disclosed and how you can get access to this information. The privacy of your information is important to us. Please review it carefully.
Nationwide Access, Medicare Coordinated, Lower Premium IYC Medicare Advantage by UnitedHealthcare Major Health Systems You have access to any provider who accepts Medicare assignment. Full Service Areas United States
ET-7355 Form Other Benefit Recipient Authorization for Direct Rollover to a Qualified Retirement Plan Complete and return this form with your application.
