MedAssure™ Applications & Forms

There is no way to prevent a RAC audit from happening, but when it does, are you prepared?

Section 1893(h) of the Social Security Act authorized the Recovery Audit Program expansion nationwide by January 2010 into all 50 states. MedAssure™ from HCS will leave you prepared and covered with limits up to $1million.

The combined SynGuard™ & MedAssure™ application pertains to both standalone and combined SynGuard™ & MedAssure™ coverage. Please complete the application that applies to your domicile state.

 

SynGuard™ & MedAssure™ – Delaware
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SynGuard™ & MedAssure™ – Maryland
Download PDF File

 

SynGuard™ & MedAssure™- New Jersey
Download PDF File

 

SynGuard™ & MedAssure™ – Pennsylvania
Download PDF File