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INSTRUCTIONS FOR COMPLETING APPLICATION FOR …

INSTRUCTIONS FOR COMPLETING APPLICATION FOR …

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Jun 30, 2021 · non-reimbursed medical expenses paid by you or your spouse. Include expenses for medical and dental care, medications, eyeglasses, Medicare, medical insurance premiums, medical copayments and other hospital or nursing home expense. Include insurance premiums such as automobile and homeowners. Exclude life insurance premiums.

  Medical, Care, Reimbursed, Expenses, Reimbursed medical

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