Employees enrolled in the Providence Health Plans (Statewide & Choice) that are between the ages of 45 and 64, or have dependents between the ages 45 and 64, have and/or will receive a letter from Providence requesting the employee to provide Providence with your and your dependent’s Social Security Number (SSN) or to sign an annual waiver that you or your dependents have not received Medicare benefits.
Your response is required.
This is a reporting requirement of the Centers for Medicare & Medicaid Services (CMS) and is intended to help Medicare properly coordinate payment of benefits among plans so that claims are paid promptly and correctly.
Online - register your SSN: www.providence.org/php/SSN
By Mail – register your SSN or submit the annual wavier: