MEDICARE MEMBERS: PROTECT YOURSELF AGAINST MEDICARE FRAUD AND IDENTIFY THEFT! THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES OFFICE OF INSPECTOR GENERAL IS ALERTING THE PUBLIC ABOUT A FRAUD SCHEME INVOLVING GENETIC TESTING. LEARN HOW TO PROTECT YOURSELF.
Additional Member Forms | Wellcare Nebraska
Use this form when you want to allow us to share your health information with a person or group:
Use this form when you want us to cancel or revoke your previous permission to share health information with a person or group:
- PHI Revocation Form (PDF) - coming soon
Use this form to name a person to act as your representative. Must be completed by you and accepted by the person you appoint.