UnitedHealthcare® Group Medicare Advantage PEBB Balance (PPO) Customer Service: Call 1-855-873-3268 Calls to this number are free. 8 a.m.-8 p.m. local time, Monday-Friday. Customer Service also has free language interpreter services available for non-English speakers. TTY 711 Calls to this number are free. 8 a.m.-8 p.m. local time, Monday-Friday. Write: P.O. Box 30770 Salt Lake City, UT 84130-0770 retiree.uhc.com/wapebb State Health Insurance Assistance Program State Health Insurance Assistance Program is a state program that gets money from the Federal government to give free local health insurance counseling to people with Medicare. You can call the SHIP in your state at the number listed in Chapter 2 Section 3 of the Evidence of Coverage. PRA Disclosure Statement According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0938-1051. If you have comments or suggestions for improving this form, please write to: CMS, 7500 Security Boulevard, Attn: PRA Reports Clearance Officer, Mail Stop C4-26-05, Baltimore, Maryland 21244-1850. UHEX24PP0107821_000

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