Citrus Health Care

For immediate assistance, call us toll free at 1-800-878-9399

Saturday, February 04, 2012
		* Guaranteed Acceptance Health Care Benefits for your clients! Click here for more information. * * Exciting new dental plan for CA, FL and TX residents *

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Designed for individuals and families

Summary of Plan Benefits

Provider List

Formulary

Authorization for Release of Medical Records

Change Form

Claim Form

Conditional Receipt

Diabetic Questionnaire

Enrollment Application

Hypertension Questionnaire

Supplementary Medical Information

Contracting

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e-mail: info@bayinsurance.com

(800) 878-9399 · (800) 878-9467 (fax)

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