Authorization to Receive Non-Plan Information
Consent to Receive Non-Plan Information
Completing this form and submitting it by clicking on the Submit button below allows you to receive non-plan information from UCare. This is information unrelated to your health care or plan benefits.
The Centers for Medicare & Medicaid Services (CMS) requires Medicare Advantage organizations to obtain their members’ consent to send members non-plan or non-health related information.
Completing this form and submitting it by clicking on the Submit button above allows you to receive information from UCare that may not be directly related to your health care or Medicare plan benefits.