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Pennsylvania Medicaid Member Contact Form
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Name
Member ID#
*
Phone Number
ex. 999-999-9999
*
Issue
-- Please Select --
Question on pharmacy or prescription benefits
Question on member benefits
Question on member eligibility
Question on member ID Card
Request to change Primary Care Physician
Request for list of participating providers
All other requests or questions
Best Time to Contact you?
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Morning: 8am - 10am
Noon: 10am - 2pm
Afternoon: 2pm - 4pm
Yes, a representative may call me to discuss this issue.
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Last Updated:
7/30/2009