hat
Ranpli epi siyen Fòm Chwa Plan Sante ou te resevwa nan men New York Medicaid Choice la. Retounen fòm ou a pa lapòs nan anvlòp pre-peye nou te voye ak fòm nan.
eng
Fill out and sign the Health Plan Choice Form you received from New York Medicaid Choice. Mail back your form in the prepaid envelope we sent with the form.