Saturday, March 13, 2010
   
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Disease Management Enrollment Form

If you are a Health Plan member and have been diagnosed with diabetes, heart failure, or chronic pulmonary disease (COPD), The Health Plan has nurses specialized in these diseases who can assist you to learn skills to manage your condition.

Please fill out the information on the form below and click "Submit". The Health Plan's nurse will call you.

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Ohio Valley/ Mountaineer Region Office
P: 740.695.7902
TF: 1.888.847.7902
F: 740.699.6163
Email: information@healthplan.org
Hours: Mon- Fri., 8:30 am to 5:00 pm

HomeTown Region Office
P: 330.837.6880
TF: 1.800.426.9013
F: 330.830.5634
Email: information@healthplan.org
Hours: Mon- Fri., 8:00 am to 5:00 pm

 

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