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• Privacy Policy

  Introduction AultCare Insurance Company (dba AultCare HMO), which is part of an Organized Health Care Arrangement with AultCare Corporation, AultCare Health Insuring Corporation dba PrimeTime Health Plan, and Aultra Administrative Group (AultCare or We) is a Group Health Plan Covered Entity under HIPAA.  We’re committed to safeguarding the Privacy and Security of…

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• Terms & Conditions

  Your Information We do not collect your personal identifying information when you access this website unless: 1. You register to use the services offered on our website; or 2. You provide information to us in an e-mail; or 3. You are offered Enrollment Services You can have Your Say Limit Use…

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• Member Account Management

  If you would like to delete your AultCare Member Account, please contact us with your current information so we may assist you.

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• AultCare Fillable Form Accident Questionnaire - Acc

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• Healthcare Reform Copay Waiver Request Enrollment Form

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• Marketplace Managed Formulary AultCare

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• Designation of Authorized Representative fillable form

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• HIPAA Access Request Form AultCare

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• Generic Incentive Program

  This program assists members with transitioning to a generic equivalent for certain medications when clinically appropriate. An incentive may reduce member cost share. This cost-share adjustment is based on brand name manufacturer assistance programs. Please call AultCare Customer Service at 330-363-6360 or 1-800-344-8858 (TTY 711) for any questions regarding this…

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• 163 Medical Rx Claim Form AultCare

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