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How do I fill this out?

Fill out your order by using the provided order form or the online platform. Ensure you meet the minimum $30 in Benefit Credits per order. Submit your order before the end of each quarter to avoid expiration of credits.

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How to fill out the 2016 UnitedHealthcare Over-the-Counter Essentials Catalog?

  1. 1

    Fill out the order form provided.

  2. 2

    Ensure your order totals at least $30 in Benefit Credits.

  3. 3

    Submit the order either online or by mail.

  4. 4

    Include payment if your order exceeds the credit amount.

  5. 5

    Submit the order before the end of each quarter.

Who needs the 2016 UnitedHealthcare Over-the-Counter Essentials Catalog?

  1. 1

    UnitedHealthcare members who want to use their OTC benefit credits.

  2. 2

    Individuals looking for convenient access to health and wellness products.

  3. 3

    Those managing chronic conditions with over-the-counter medications.

  4. 4

    Caregivers assisting someone with their OTC product needs.

  5. 5

    Elderly members who prefer having products delivered to their home.

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You can easily edit this PDF using PrintFriendly's PDF editor. Add your order details, adjust quantities, and include payment information if necessary. Make sure all required fields are completed before submitting your order.

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Sign the PDF directly within PrintFriendly's platform to validate your order. Use our digital signature feature to ensure your submission is authenticated. Once signed, the form is ready to be processed.

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How do I edit the 2016 UnitedHealthcare Over-the-Counter Essentials Catalog online?

You can easily edit this PDF using PrintFriendly's PDF editor. Add your order details, adjust quantities, and include payment information if necessary. Make sure all required fields are completed before submitting your order.

  1. 1

    Upload the PDF to PrintFriendly.

  2. 2

    Open the PDF editor tool.

  3. 3

    Fill out the necessary order details.

  4. 4

    Include any additional required information.

  5. 5

    Save and submit your edited form.

What are the instructions for submitting this form?

Submit your completed order form either online at www.OTC-Essentials.com or by mailing it to the provided address using the postage paid envelope. Ensure your order is postmarked by the quarterly deadlines. For assistance, contact FirstLine Medical customer service at 1-877-795-4521.

What are the important dates for this form in 2024 and 2025?

Orders must be postmarked by March 31, June 30, September 30, and December 31. For additional forms, visit the website after January 1, 2016.

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What is the purpose of this form?

The purpose of this form is to enable UnitedHealthcare members to order health and wellness products using their Over-the-Counter (OTC) benefit credits. Members can conveniently browse and select products from the provided catalog. The form ensures orders are processed efficiently and benefit credits are utilized effectively.

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Tell me about this form and its components and fields line-by-line.

This form includes several components necessary for placing an order.
fields
  • 1. Order Form: The primary section where you list the products you wish to order.
  • 2. Personal Information: Fields for your name, address, and contact details.
  • 3. Product Codes and Quantities: Sections where you specify the product codes and quantities desired.
  • 4. Payment Information: If your order exceeds your credit limit, include payment details here.
  • 5. Total Order Cost: Calculate the total cost of your order and ensure it meets the minimum requirement.

What happens if I fail to submit this form?

Failing to submit the form on time results in the expiration of benefit credits.

  • Missed Benefits: You lose out on utilizing your benefit credits for health products.
  • Delayed Orders: Orders delayed due to incomplete or late submission.
  • No Refunds: Benefit credits cannot be redeemed for cash or applied to future orders.

How do I know when to use this form?

Use this form to order health and wellness products available in the catalog.
fields
  • 1. Quarterly Orders: Submit an order form each quarter to utilize your benefit credits.
  • 2. Product Selection: Choose from the listed products and specify quantities.
  • 3. Payment Inclusion: Include additional payment if your order exceeds the credit amount.
  • 4. Personal Information: Provide your personal and contact details for processing.
  • 5. Submission Deadline: Ensure orders are postmarked by the specified dates to avoid expiration.

Frequently Asked Question

How do I edit this PDF on PrintFriendly?

Use our PDF editor to fill out the form, adjust details, and include payment information.

Can I sign the PDF on PrintFriendly?

Yes, use our digital signature feature to validate your order.

Can I share the edited PDF?

Yes, you can share via email, link, or social media using our sharing options.

What products are available in this catalog?

The catalog includes health and wellness products, such as stomach remedies and OTC medications.

What happens if I don't submit my order on time?

Benefit Credits expire at the end of each quarter, so it's important to submit orders on time.

How can I obtain more order forms?

Visit our website to download additional forms or contact FirstLine Medical customer service.

Are there any costs for shipping?

No, all orders are shipped at no additional cost for shipping, handling, and taxes.

Can I include future credits in my order?

No, future credits cannot be applied to your current order.

What payment methods are accepted?

Checks and money orders are accepted if your total order exceeds your benefit credits.

How do I contact customer service?

Call FirstLine Medical customer service at 1-877-795-4521 (TTY: 711) for assistance.

2016 UnitedHealthcare Over-the-Counter Essentials Catalog

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