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Member Care Update

To better serve you, please complete the member care update

Select all that apply and provide any applicable details or comments.

Have you been treated by a specialist within the last six months?
Have you been treated by a specialist within the last six months?
Have you had surgery or been admitted to the hospital within the last six months? Are you scheduled for surgery or hospital admission?
Have you had surgery or been admitted to the hospital within the last six months? Are you scheduled for surgery or hospital admission?
Have you had an emergency room visit within the last six months?
Have you had an emergency room visit within the last six months?
Have you ever been diagnosed with sleep apnea?
Have you ever been diagnosed with sleep apnea?
Have you been diagnosed with any of the following medical conditions?