2024 Evidence of Coverage for UnitedHealthcare® Group Medicare Advantage PEBB Balance (PPO) Chapter 2: Important phone numbers and resources 42 State Medicaid Programs – Contact Information Indiana | Indiana Family and Social Services Administration 1-800-403-0864 FSSA Document CTR, P.O. Box 1810 Marion, IN 46952 TTY 1-800-743-3333 https://www.in.gov/medicaid/ 8 a.m. - 4:30 p.m. ET, Monday - Friday Kansas | Kansas Dept. of Health and Environment 1-800-792-4884 900 SW Jackson ST Topeka, KS 66612 TTY 711 http://www.kancare.ks.gov/ 8 a.m. - 5 p.m. CT, Monday - Friday Kentucky | Kentucky Cabinet for Health and Family Services 1-800-635-2570 275 E Main ST Frankfort, KY 40621 TTY 711 https://chfs.ky.gov/ 8 a.m. - 5 p.m. ET, Monday - Friday Louisiana | Louisiana Department of Health 1-225-342-9500 628 N. 4th Street Baton Rouge, LA 70802 TTY 711 https://ldh.la.gov/ 8 a.m. - 4:30 p.m. local time, Monday - Friday Massachusetts | Executive Office of Health and Human 1-800-841-2900 Services TTY 1-800-497-4648 100 Hancock ST, FL 6 Quincy, MA 02171 8 a.m. - 5 p.m. ET, http://www.mass.gov/eohhs/gov/departments/masshealth/ Monday - Friday Maryland | Maryland Department of Health, HealthChoice 1-877-463-3464 201 W Preston ST Baltimore, MD 21201-2399 TTY 1-800-735-2258 health.maryland.gov/mmcp/healthchoice/Pages/Home.aspx 8 a.m. - 5 p.m. ET, Monday - Friday Maine | Office of MaineCare Services 1-800-977-6740 11 State House Station Augusta, ME 04333-0011 TTY 711 https://www.maine.gov/dhhs/oms/ 8 a.m. - 5 p.m. ET, Monday - Friday Michigan | Department of Health and Human Services 1-517-373-3740 333 S Grand AVE, P.O. Box 30195 Lansing, MI 48909 TTY 1-800-649-3777 http://www.michigan.gov/mdhhs/ 8 a.m. - 5 p.m. ET, Monday - Friday

UnitedHealthcare PEBB Balance EOC (2024) - Page 48 UnitedHealthcare PEBB Balance EOC (2024) Page 47 Page 49