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This form can be used to request Clever Care enrollment kits. Multiple plans and material languages can be selected within a single request. The quantity requested should reflect the total quantity for the entirety of your order. The quantity of each version will be determined by Clever Care Broker Support staff upon review of your request.
This page was last updated on October 22, 2021.
Clever Care of Golden State is an HMO and HMO C-SNP plan with a Medicare contract. Enrollment in Clever Care of Golden State depends on contract renewal.
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