$25 Monthly / al mesBetter Health
2018 Over-the-Counter (OTC) Order Form
Plan Name / Nombre del Plan Benefit Amount / Monto de Beneficio
Lunes a Viernes 8 a.m. a 7 p.m. E.S.T.
TTY: 711Monday through Friday 8 a.m. to 7 p.m. E.S.T.
800-514-45612018 Formulario de Artculos OTC
AHCA Approval 12/20/17
Better Health provides its members with the Over-the-Counter (OTC) Program. This is an easy way to get OTC drugs and supplies by mail with your Better Health OTC benefit.
HOW TO ORDER BY MAIL:1. Write your name, address, phone number and member ID in the space at the topof the form. 2. Enter number of items you want to order that add up to your benefit amount orless.3. Fold form and put it in an envelope. Place a first class postage stamp on theenvelope and mail to:
OTC Health Solutions,9675 NW 117th Avenue, Suite 202
Miami, FL 33178ORDER BY PHONE:Call 800-514-4561, TTY: 711, from 8 a.m. to 7 p.m., Eastern, Monday through Friday.
ORDER ONLINE:To access our website please visit: Better.otchs.com
For a list of participating Navarro and CVS/pharmacy y ms locations for in-store pick up, visit Better.otchs.com or call 800-514-4561.
This information is available for free in other languages. Please contact our customer service number at 800-514-4561 and for TTY/TTD assistance please dial 711.
Orders will be shipped to your home at no extra charge. Please allow 7 - 10 business days for delivery.
AHCA Approval 12/20/17
Better Health se complace en proveer a sus afiliados el Catalogo de Medicamentos Sin Receta (OTC). Esta es una forma conveniente de recibir por correo sus medicamentos y suministros sin receta mdica a travs de su beneficio de Better Health.
PEDIDO POR CORREO:1. Escriba su nombre, direccin, nmero de telfono y su nmero de afiliado en elespacio indicado. 2. Marque los artculos que desee y sume hasta la cantidad de su beneficio omenos.3. Coloque este formulario en un sobre con una estampilla de Primera Clase ymndelo a:
OTC Health Solutions,9675 NW 117th Avenue, Suite 202
Miami, FL 33178
PEDIDO POR TELEFONO:Llame al 800-514-4561, TTY: 711 de 8 am a 7 pm, hora del este, de lunes a viernes.
PEDIDO POR INTERNET:-Para Better Health, entre a nuestra pgina: Better.otchs.com
Si usted desea recoger sus medicamentos y suministros sin receta en la tienda, visite Better.otchs.com o llame al 800-514-4561 para obtener la lista de tiendas participantes de Navarro y CVS/pharmacy y ms.
Esta informacin est disponible gratis en otros idiomas. Por favor, pngase en contacto con nuestro nmero de servicio al cliente al 800-514-4561. Para asistencia TTY/TTD, por favor marque 711.
Los pedidos sern enviados a su domicilio sin cargo adicional. Por favor permita 7 - 10 das laborables para la entrega.
AHCA Approval 12/20/17
1
Name: Date:(Nombre): (Fecha):Address: Order for the Month of:(Direccin): (Orden para el Mes de):Member Id: Phone:(Numero De Membresia): (Telfono):
QtyCode
CdigoProduct
Compare toComparado a
CountCantidad
PricePrecio
A1 Effervescent Pain Relief Alka-Seltzer 36 CT $4.49
A2 Dairy Relief Chewable Lactaid 60 CT $12.49
A4 Antacid Calcium E/S Tab Tums E-X 96 CT $3.99
A7 Ranitidine 75mg Zantac 75 30 CT $7.99
A8 Heart Burn Relief Tablets Gaviscon 100 CT $6.49
A9 Omeprazole Tabs 14 CT $11.49
A13 Antacid Calcium Smooth Tums Smooth 60 CT $3.99
A14 Acid Controller Tabs Pepcid AC 30 CT $6.99
A15 Motion Sickness Tablets Dramamine 12 CT $3.99
L1 Bisacodyl Laxative Tabs Dulcolax 25 CT $4.49
L2 Stool Softener Colace 100 CT $9.99
L6 Glycerin Suppository Adult Fleet Glycerin 25 CT $3.99
L7 Fiber Capsules Metamucil 160 CT $10.99
L10 Daily Fiber SF Metamucil 10 OZ $7.99
P20 Glucose Tablets Orange Dex4 10 CT $1.49
Q1 Anti-Diarreheal Caplets Imodium A-D 12 CT $5.49
Q3 Pink Bismuth Chewable Pepto-Bismol 30 CT $3.99
Q4 Gas Relief E/S Soft Gel Gas-X 30 CT $4.49
Q5 BeanAid Capsules Beano 30 CT $5.99
Q8 Gas Relief Infant Mylicon 0.5 OZ $6.49
2018 Formulario de Artculos OTC2018 Over-the-Counter (OTC) Order Form
Capsulas para alivio de gases
Tabletas para aliviar los gases
Alivio de gases para bebes
Bismuto rosado masticables
Tabletas anticidas
Anticidos con calcio
Supositorios de glicerina
Cpsulas de fibra
Fibra diaria sin azucar
Tabletas antidiarreicas
Omeprazol en tabletas
Alivio de acidez estomacal
Comprimidos Dramamina
Bisacodilo en tabletas laxantes
Ablandador de heces
Tabletas de Glucosa de Naranja
Ranitidina 75mg
You will receive the generic equivalent of all items / Usted recibira el generico de todos los productos
Antacids, Digestion and Laxatives / Anticidos, Digestin y Laxantes
Analgsico efervescente
Alivio De Lcteos Masticable
Anticido de calcio en tabletas
Producto
AHCA Approval 12/20/17
2
QtyCode
CdigoProduct
Compare toComparado a
CountCantidad
PricePrecio
C1 Nasal Spray Regular Afrin Sinus 1 OZ $5.49C2 Allergy Relief Tablets Benadryl 24 CT $3.99C3 Cold Flu & Sore Throat Max Mucinex Fast 6 OZ $9.99C7 Medicated Chest Rub Vicks 3.5 OZ $5.99C8 Thermometer Digital 1 CT $4.99
C10 Loratidine 10mg Claritin 10 CT $7.99C11 Sore Throat Lozenges Cepacol 18 CT $3.99C12 Tussin CF Max Strength Robitussin CF 4 OZ $5.49C13 Tussin DM Robitussin DM 4 OZ $4.99C16 Nasal Decongest Pseudo Free Sudafed PE 18 CT $4.49C19 Chest Congest Relief 400mg Mucinex 60 CT $9.49
C20 Child Allergy Elixir Pseudo FreeChildren's Benadryl
4 OZ $4.99
C24Daytime Cold/Flu Pseudo Free Softgels
DayQuil 16 CT $4.49
C52 Nasal Spray Saline Ocean 1.5 OZ $3.49C53 Allergy Cetirizine 10mg Tabs Zyrtec 14 CT $9.99C54 Nighttime Cold & Flu NyQuil 16 CT $4.49C56 Sinus Acetaminophen Tylenol Sinus 24 CT $4.99C57 Sore Throat Spray Chloraseptic 6 OZ $4.49
C58Child's Cold Cough & Sore Throat
Children's Mucinex
4 OZ $8.99
C59 Fluticasone Nasal Spray Flonase 0.34 OZ $14.99C60 Cough & Cold (HBP) Coricidin 16 CT $5.99C62 Cold Sore Treatment Abreva 0.07 OZ $16.99C64 Air Shield Orange Tablets Airborne 10 CT $6.49C65 Honey Lemon SF Cough Drops Halls 25 CT $1.99
QtyCode
CdigoProduct
Compare toComparado a
CountCantidad
PricePrecio
M2 Toothbrush Each $0.99M3 Lip Balm Original SPF 15 ChapStick 0.15 OZ $1.99M4 Sens Tooth Paste White Sensodyne 4 OZ $4.99
M35 Dental Floss Waxed Reach Waxed 100 yd $2.49M52 Oral Pain Relief Anbesol 0.33 OZ $5.99M71 Flosser Picks GUM Flossers 90 CT $2.99M72 Mint Antisept Mouthwash Listerine 3.2 OZ $1.99X2 Denture Cleanse Tab A/B Mint Polident 84 CT $5.49X5 Denture Cleans Tab A/B Efferdent 40 CT $2.99X6 Denture Adhesive Regular Poligrip 2.4 OZ $4.49
Antihistamnico para resfriadoPara las astas bucalesTabletas para suporte sistema inmune
Propionato de fluticasona, spray nasal
Pasta dental blanqueadora
Pastillas de miel y limon para la tos
Dental Care / Ciudado Dental
Producto
Cepillo dentalBalsamo para labios
Descongestiona nasales seudo libre
Friccin medicinal para el pechoTermmetro digitalLoratidina 10 mg
Medicina para la tos Tussin DMTussin CFPastillas para la irritacin de garganta
Medicina para la tos,resfriado y dolor de garganta para ninos
Descongestionante del pecho 400 mg
Alivio de alergia en liquido para nios
Capsulas de gel para la gripe de dia
Aerosol nasal de agua salinaCetirizina 10 mg tabletas para alergiaMedicina para el resfriado y la gripe
Spray para el dolor de gargantaAcetaminofen Sinusal
You will receive the generic equivalent of all items / Usted recibira el generico de todos los productos
Cough, Cold and Allergy / Tos, Catarros y Alergia
Aerosol nasal regularTabletas para el alivio de alergiaPara La gripe y dolor de garganta
Producto
Tabletas para dentadurasPegamento para dentales regular
Hilo dental enceradoAlivio del dolor oralPortahilo DentalEnjuague bucal antisptico de menta Tabletas para dentaduras menta
AHCA Approval 12/20/17
3
QtyCode
CdigoProduct
Compare toComparado a
CountCantidad
PricePrecio
E1 Dry Eye Relief Visine Tears 0.5 OZ $4.49
E2 Eye Drops Redness ReliefVisine Original
0.5 OZ $3.49
E4 Eye Itch Relief Zaditor 0.17 OZ $10.99X16 Ear Wax Removal Murine Kit $5.99
QtyCode
CdigoProduct
Compare toComparado a
CountCantidad
PricePrecio
F1 Elastic Bandage 4" Futuro Elastic 1 CT $3.99F2 Muscle Rub Bengay 3 OZ $5.99
F3 Bandage Antbtc One SizeBand-Aid Antibiotic
20 CT $3.99
F4 Calamine Lotion Plus Caladryl 6 OZ $4.99F5 Hydrocortisone Crm 1% Cortizone 1 OZ $4.99F7 Triple Antibiotic Ointment Neosporin 0.5 OZ $4.49F9 Bandage Clear Assort. Sizes Band-Aid 45 CT $3.99
F11 Anti Itch Cream Benadryl 1 OZ $4.99
F12 Bandage Sheer One Size Band-Aid Sheer
40 CT $2.99
F21 Iodine 1 OZ $2.49F22 First Aid Antsep Merthiolate 2 OZ $4.99F29 Anti Itch Gel Gel contra la picazn Benadryl 4 OZ $4.99F34 Hot/Cold Multi Compress Compresa frio y caliente 1 CT $8.99F36 Reusable Ice Pack Paquete de hielo reutilizables 1 CT $4.99F61 Bacitracin Bacitracina 1 OZ $5.99F62 First Aid Tape Cinta para primeros auxilios 1 CT $1.99F65 Gauze Pad 2X2 Gaza Estril 2X2 25 CT $3.99F68 Petroleum Jelly Jalea de petrleo Vaseline 2.5 OZ $3.49F69 Butterfly Closures 12 CT $3.49F70 Hydrogen Peroxide Spray 8 OZ $2.49M45 Alcohol Prep Pads BD 100 CT $3.99M53 Gauze Roll 2" X 2 yds 1 CT $1.99M57 Gloves Nitrile Large 50 CT $7.49
You will receive the generic equivalent of all items / Usted recibira el generico de todos los productos
Vendas Elasticas
Gotas para el alivio de ojos rojos
Producto
Alivio para ojos resecos
Gotas para la cera en los odos
Eye and Ear Care / Ciudado de la Vista y Oido
Gota Para El Picor De Los Ojos
First Aid Medical Supplies / Primeros Auxilios
Producto
Crema muscular
Pomada triple antibitica
Locin de calamina
Mertiolato antiseptico
Guantes de nitrilo grandes
Vendaje De Tejido Antibacterial
Hidrocortisona en crema al 1%
Vendas tamaos surtidosCrema contra la picazn
Yodo
Almohadillas de alcohol
Vendajes un solo tamao
Cierres de mariposasHidrgeno de perxido spray
Gasa
AHCA Approval 12/20/17
4
QtyCode
CdigoProduct
Compare toComparado a
CountCantidad
PricePrecio
F35 Corn & Callus Remover Kit Dr. Scholl's 0.5 OZ $3.99
O2Tolnaftate Athlete's Foot Cream
Tinactin 1 OZ $6.99
O3 Wart Removal Compound W 0.5 OZ $5.99
O4 Odor Control Spray Powder Odor-Eaters 4 OZ $4.99
O5 Moleskin Padding Dr. Scholl's 2 CT $2.49
QtyCode
CdigoProduct Compare to
Comparado aCount
CantidadPrice
Precio
X74 Pads-Bladder Control Moderate Poise 20 CT $5.99
X75 Underwear Women S/M Depends 20 CT $13.99
X77 Underwear Men S/M Depends 18 CT $13.99
X83Unisex Overnight Underwear XL 58"-68"
Depends 12 CT $13.99
X84Unisex Overnight Underwear L 44"-58"
Depends 14 CT $13.99
QtyCode
CdigoProduct
Compare toComparado a
CountCantidad
PricePrecio
M23 Hand Sanitizer Purell 2 OZ $1.49
M49 Tablet Cutter Each $6.49
M51 7 Day Pill Box Each $2.49
M75Mosquito Repellant with 30% Deet
OFF! Repellant 6 OZ $6.49
M76 Mosquito Repellant Deet Free OFF! Repellant 6 OZ $6.49
*X71Blood Pressure MonitorSemi Auto 8.7" x 16.5"
Each $24.99
*X72Blood Pressure MonitorManual 8.7" x 12.6"
Each $17.99
X81 Maxi Reg Always 24 CT $3.49
Adult Incontinence / Incontinencia
Producto
Almohadillas para incontinencia
Calzones pequeos/ medianos F
You will receive the generic equivalent of all items / Usted recibira el generico de todos los productos
Producto
Atomizador de control de olores en polvo
Relleno Moleskin
Eliminador medicinal de callos
Crema para el pie de atleta tolnaftato
Eliminacin de verrugas
Foot Care / Cuidado de los pies
*Limit of 1 BP monitor per year*Limite de 1 BP monitor annual
Repelentes de mosquitos sin dietiltoluamida
Calzones pequeos/ medianos M
Calzones absorbentes unisexo para la noche XL - 58" - 68"Calzones absorbentes unisexo para la noche L - 44" - 58"
Desinfectante de manos
Toallas sanitarias regular
Miscellaneous / Miscelneo
Cortador de tabletas
Pastillero de 7 dias
Producto
Monitor de presin arterial semi auto 8.7" x 16.5"Monitor de presin arterial8.7" x 12.6"
Repelentes de mosquitos con 30% de dietiltoluamida
AHCA Approval 12/20/17
5
QtyCode
CdigoProduct
Compare toComparado a
CountCantidad
PricePrecio
H2 Hemorrhoidal Suppositories Preparation H 12 CT $4.99
H3 Hemorrhoidal Ointment Preparation H 2 OZ $7.49
M6 Sleep Aid Tylenol 24 CT $3.99
M7 Baby Teething Gel Baby Orajel 0.33 OZ $4.49
M46 Urinary Relief Max Strength Azo 12 CT $4.99
P1 Ibuprofen Tabs 200mg Advil 50 CT $4.49
P4 Low Dose Enteric Aspirin 81mg Ecotrin 120 CT $5.49
P6 Acetaminophen 500mg Tylenol 100 CT $6.99
P8 Aspirin Chewable 81mgBayer Chewable
36 CT $2.49
P12 Child Ibuprofen Suspension Motrin 4 OZ $6.49
P13 Child Non Aspirin Suspension Tylenol 4 OZ $4.49
P14 Hot/Cold Patch Icy Hot 5 CT $6.99
P17 Headache Pain Relief Excedrin 100 CT $7.49
P19 Naproxen 220mg Aleve 24 CT $4.49
P45 Acetaminophen PM Tylenol PM 24 CT $4.49
P50 Menstrual Pain Relief Max Midol 24 CT $4.99
P51 Aspirin Enteric Coated 325Mg Ecotrin 100 CT $6.49
P52 Acetaminophen 325 Regular Tylenol 90 CT $8.99
QtyCode
CdigoProduct
Compare toComparado a
CountCantidad
PricePrecio
F10 Diaper Rash Ointment Desitin 2 OZ $3.99
F64 Acne Treatment 10% Clearasil 1 OZ $4.99
M1 Sunblock SPF 45 3 OZ $8.49
M9 Cotton Swab 375 CT $2.49
M11 Baby Powder 4 OZ $1.99
M31 Oil Free Acne Wash Neutrogena 6 OZ $3.99
M32 Active Tampons Regular Tampones regular Playtex Sport 18 CT $4.49
M33 Unscented Wipes 56 CT $3.49
M34 Diabetic Skin Lotion Gold Bond 13 OZ $6.99
Alivio de dolor menstrual
Acetaminofeno 325MG regular
Lavado de acn sin aceite
Locin para la piel diabtica
Toallitas humeda sin olor
Talco
Ungento para erupciones en la piel
Hisopos de algodn
Personal Care / Cuidado personal
You will receive the generic equivalent of all items / Usted recibira el generico de todos los productos
Somnfero
Tratamiento de acn 10%
Protector solar SPF 45
Producto
Supositorios Hemorroidales
Ungento para hemorroides
Aspirina masticable 81mg
Ibuprofeno en suspension para nios
Ibuprofeno 200 mg
Aspirina enterica y recubierta de 81mg
Acetaminofeno 500mg
Pain Relievers and Sleep Aids / Analgsicos y Artculos para ayudarle a dormir
Alivio Urinario fuerza maxima
Naproxen 220mg
Aspirina recubierta 325MG
Acetaminofeno PM
Producto
Acetaminofeno en suspension nios
Parches calientes y frios
Alivio de dolor de cabeza
Gel para la denticion de bebe
AHCA Approval 12/20/17
6
QtyCode
CdigoProduct
Compare toComparado a
CountCantidad
PricePrecio
V2 Vitamin C 500mg 100 CT $6.99
V3 Calcium Carbonate + D Caltrate 60 CT $4.49
V5 Coenzyme Q-10 50mg 30 CT $9.99
V10 Glucosamin/ Chondroitin Osteo Bi-Flex 80 CT $15.99
V16 Vitamin E 400 IU Soft Gel 100 CT $11.99
V17 Folic Acid 800mcg Tablet 100 CT $3.49
V18 Iron Supplement 65mg Feosol 90 CT $5.49
V19 Fish Oil Omega-3 1000mg Puritan 120 CT $8.99
V32 Vitamin D 1000 IU 100 CT $3.49
V35 Magnesium 500mg 100 CT $4.49
V36 Zinc Gluconate 50mg 100 CT $4.49
V41 Chewable Multivitamins Flintstones 60 CT $6.99
V45 Probiotic Adult 15 CT $14.49
V48 Biotin 10000Mc Soft Gel 60 CT $11.49
V49 Melatonin Gummy 5mg 60 CT $10.49
V54Calcium Supplement Gummy
50 CT $10.49
V56 Vitamin A 8,000 IU Nat 100 CT $4.99
V57 Vitamin B12 500mcg 100 CT $8.99
V58 B Complex Plus Vitamin C Nature's Bounty
130 CT $6.99
V59 Potassium gluconate 550Mg
Nature's Bounty
100 CT $4.99
V60Adult Daily Multiple Vitamin
One A Day 365 CT $6.99
V61 B-6 Vitamins Nature's Bounty
100 CT $5.99
V62Adult Daily Women's 50+ Adv.
One A Day 50 CT $6.99
V63 Adult Daily Men's 50+ Adv. One A Day 50 CT $6.99
V64 Lutein 40mg Ocuvite 30 CT $17.99Luteina 40MG capsula de gelatina
Magnesio 500 mg
Vitamina D 1000 mg IU
cido flico 800 mg
Multivitaminas suplemento para adulto
Vitamina B6
Complejo B ms vitamina C
Vitamina E 400 mg IU Capsulas de gel
Glucosamina/Condroitina
Suplemento de hierro 65mg
Aceite de pescado Omega-3 1000 mg
Multivitamina para hombre 50+
Probiotico Para Adultos
Melatonina Gomitas 5 mg
Suplemento de calcio en gomitas
Gluconato de potasio 550MG
Multivitamina para mujer 50+
Gluconato de zinc 50 mg
Vitaminas masticables
Vitamina A 8,000 IU
Vitamina B-12 500mcg
Biotina 10000 mcg capsulas de gelatina
Vitamins and Minerals Dual Purpose Items* / Vitaminas y Minerales Producto de doble propsito**Must consult with Primary Care Physician prior to ordering a dual-purpose item
*Consulte su Mdico de cabecera antes de ordenar un producto de doble propsito*You will receive the generic equivalent of all items / Usted recibira el generico de todos los productos
Vitamina C 500 mg
Carbonato de calcio 600 mg + D
Coenzima Q-10 50mg
Producto
AHCA Approval 12/8/17
AHCA Approval 12/20/17
Better Health, Inc. follows Federal civil rights laws. We dont discriminate against people because of their:
Race Color
National origin Age
Disability Sex or gender identity
That means we wont exclude you or treat you differently because of these things.
Communicating with you is important For people with disabilities or who speak a language other than English, we offer these services at no cost to you: Qualified sign language interpreters Written materials in large print, audio, electronic, and other formats Help from qualified interpreters in the language you speak Written materials in the language you speak
To get these services, call the Member Services number on your ID card. Or you can call our Grievance Coordinator at 1-305-921-2630 (TTY 711).
Your rights Do you feel you didnt get these services or we discriminated against you for reasons listed above? If so, you can file a grievance (complaint). File by mail, email, fax, or phone:
Grievance Coordinator 9250 W. Flagler St. Suite 600 Miami, FL 33174
Phone: 1-305-921-2630 Fax: 1-786-441-8183 Email: [email protected]
Need help filing? Call our [Grievance Coordinator] at the number above. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights:
On the Web: https://ocrportal.hhs.gov/ocr/portal/lobby.jsf By mail: U.S. Department of Health and Human Services
200 Independence Avenue SW Room 509F, HHH Building Washington, D.C. 20201
By phone: 1-800-368-1019 (TTY/TDD 1-800-537-7697)
For a complaint form, visit www.hhs.gov/ocr/office/file/index.html.
This information is available for free in other languages. Please contact our customer service number at 1-800-514-4561 (TTY 711) Monday through Friday from 8 a.m. to 7 p.m. Eastern time.
Esta informacin est disponible gratuitamente en otros idiomas. Pngase en contacto con nuestro nmero de servicio al cliente al 1-800-514-4561 (TTY 711) de lunes a viernes de 8 a.m. a 7 p.m. hora del Este.
FL-MEM-0806-16 AHCA rev 011017 Approved 011317
Do you need help with your health care, talking with us, or reading what we send you? Call us toll free at 1-800-514-4561 TTY 711 to get this for free in other languages or formats.
Necesita ayuda con su cuidado de la salud, para hablar con nosotros o leer lo que le enviamos? Llmenos a la lnea gratuita al 1-800-514-4561 TTY 711 para recibir esto gratuitamente en otros idiomas o formatos.
ske ou bezwen d ak swen sante ou, d pou pale ak nou, oswa pou li sa nou voye ba ou? Rele nou gratis 1-800-514-4561 TTY 711 pou jwenn sa gratis nan lt lang oswa fma.
Vous avez besoin daide pour vos soins de sant, pour communiquer avec nous ou pour lire les documents que nous vous envoyons ? Appelez-nous notre numro gratuit 1-800-514-4561 TTY 711 pour obtenir ces informations dans dautres langues et formats.
Precisa de ajuda com servios de sade, falar conosco ou ler o que enviamos para voc? Entre em contato conosco por meio do 1-800-514-4561 TTY 711 para obter estas informaes gratuitamente em outros idiomas ou formatos.
1-800-514-4561 TTY 711
Ha bisogno di supporto con lassistenza sanitaria, per parlare con noi oppure leggere ci che le abbiamo inviato? Ci contatti al numero gratuito 1-800-514-4561 TTY 711 per ottenere supporto senza costi aggiuntivi in altre lingue o formati.
Bentigen Sie Hilfe bei Ihrer medizinischen Versorgung, der Kommunikation mit uns oder beim Lesen unserer Unterlagen? Rufen Sie uns dann bitte unter 1-800-514-4561 TTY 711 gebhrenfrei an, um dies gratis in anderen Sprachen oder Formaten zu erhalten.
Kailangan ninyo ba ng tulong sa inyong pangangalagang pangkalusugan, sa pamamagitan ng pakikipag-usap sa amin, o pagbasa kung ano ang ipinapadala namin sa inyo? Tawagan kami nang walang bayad sa 1-800-514-4561 TTY 711 upang makuha ito nang libre sa ibang mga wika o anyo.
Qu v cn tr gip v chm sc sc khe, tr chuyn vi chng ti, hoc c nhng g chng ti gi cho qu v? Hy gi cho chng ti theo s min ph 1-800-514-4561 TTY 711 c tr gip min ph bng cc ngn ng hay hnh thc khc.
. ) TTY 711( 4561-514-800-1
BET-MEM-1002-17 Approved 091817
, , ? 1-800-514-4561 TTY 711, .
, , ; 1-800-514-4561 TTY 711 .
Czy potrzebujesz pomocy w zwizku z Twoj opiek zdrowotn albo przy rozmowie z nami lub przy czytaniu wysyanych przez nas materiaw? Zadzwo do nas pod numer bezpatnej infolinii 1-800-514-4561 TTY 711, aby otrzyma ten materia za darmo w innych jzykach lub formatach.
, , , ? 1-800-514-4561 TTY 711
, ? 1-800-514-4561 TTY 711 .
BET-MEM-1002-17 Approved 091817
2018 Order Booklet Better A8Cover Page2018 Order Booklet Better A8.pdfInstrucciones (2)Page 1Page 2Page 3Page 4Page 5Page 6
2018 Order Booklet Better A6BET_FL-MEM-0806-16 FL HHS Final Rule Notice STATEBET-MEM-1002-17 FL Mega Reg Babel Sheet FINAL