Assignment of Benefits (for items covered under Medicare Part B)
Coverage Determination Form
Disenrollment Form
Enrollment Form
Mail Order Form
Paper Claim Form
For more information, go to the NRECA Medicare Part D Participant Resource. (You must be a registered user on Cooperative.com to view this resource.)
This web site contains information about the Medicare Prescription Drug Coverage. You will find information about all of the following on this site: