Navajo Plan Documents

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Here you’ll find the Navajo Nation documents and forms you need in Adobe PDF format. Don’t have Adobe Reader? Get it here

Navajo Nation Health Plan Documents

Summary of Benefits & Coverage (SBC)

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SBC Glossary

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Plan Document

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Helpful Documents and Forms

HIPAA Authorized Representative Form

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Enrollment Form

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Medicare Part D Notification

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Coordination of Benefits (COB) Questionnaire

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Explanation of Benefit (EOB) Example

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