2024 Humana spending account card balance check

Communitymanager. 0 Likes. 0 Comments. 0 Followers. Have questions regarding your spending account? View some of the most common ones asked here! Frequently Asked Questions - Spending Accounts. Files.Check this user guide out for direction! Registration. Using your Mastercard. Setting your communication preferences. Card not received or lost/stolen. Obtaining your PIN - Personal Identification Number. Request card to be issued to dependent/spouse. Check your account balance. Managing your HSA (Health Savings Account)• Members can use the “Quick Balance Check” feature on their Healthy Benefits+ mobile app or online to see if their balances roll over. Humana Spending Account Card Spending card activation and usage Exciting spending card updates to share with members Getting help with the card For questions about the Humana Spending Account Card ...Medicare will only cover manual manipulation, not other services offered at a chiropractor, such as X-rays, acupuncture or massage. You must pay your Part B deductible before Medicare pays its share. Once your deductible is met, Part B will pay 80% of the Medicare-approved treatment amount—you will still owe 20%.Are you a Sodexo user looking to check your balance? Whether you have a Sodexo meal card, gift pass, or any other Sodexo product, it’s essential to keep track of your balance. In t...Flex Allowance $750 annual allowance on a prepaid card to use for out-of-pocket expenses, including copays related to the current plan year covered dental, vision and hearing services. Any unused amount expires at the end of the plan year. Allowance is available on the Humana Spending Account Card. Mandatory supplemental dental benefit DEN569The Humana Spending Account Card can store up to 3 Medicare Advantage spending allowances on one easy-to-use Visa® debit card. Conozca más. Saltar al contenido principal. Más secciones de Humana . Otros sitios de Humana: Para proveedores ; Para empleadores ; Para Group Medicare ;Don't have an account? Sign up Remember, you must be a member to log in. Log in Email. Password. LOG IN ... Need your benefit balance? ... Use of Your Card: If prompted, your PIN is that last 4-digits of your card number. Usage restrictions apply. See cardholder terms for details. No Cash (except as required by law) or ATM Access. ...The Humana Spending Account Card transcends the boundaries of typical healthcare spending. This card is an essential tool for living and medical expenses, offering flexibility and ease. Like a premium membership card, this offers exclusive benefits and hassle-free transactions. Retail Therapy with Health Benefits. One of the standout features ...Spending Accounts. Spending Accounts Home; ... How To Access ID Card. Dec 29, 2020. How to access claims. Oct 23, 2020 ... Other Humana sites for: Humana Pharmacy. Go365.Specified Low-Income Medicare Beneficiary (SLMB) Program 2. The SLMB program helps pay Part B premiums for people who have Part A. SLMB income and resource limits for 2023 include: Individual monthly income limit - $1,478*. Married couple monthly income limit - $1,992*. Individual resource limit - $9,090. Married couple resource limit ...Any future reimbursement requests may be used to offset the balance due, or the member can make a payment by mailing a check or money order payable to Humana to: Humana Spending Account Administration . PO Box 14167 . Lexington, Kentucky 40512-4167 . How will a member know transactions in ineligible status are resolved?In conclusion, Walmart does accept the Humana Spending Account Card for eligible health care expenses. You can also use your card at a variety of other retailers, both in-store and online. Be sure to keep track of your account balance and to report any issues or concerns to Humana right away. With a little bit of planning and organization, your ...Limited Purpose Flexible Spending Account. Communitymanager (Humana) published this new Knowledge. User16723585517261346711 and User16186603661423982866 like this.Go365 wellness and rewards. For eligible members, stay motivated and earn rewards for completing healthy actions—like working out or getting a flu shot—with our Go365® program. Get going with Go365.*Humana 2024 plans with an over-the-counter (OTC) mail-order allowance do not have an OTC allowance on the Humana Spending Account Card and some Puerto Rico plans include a separate Humana Extra Debit Card. †Card is loaded monthly; unused dollars roll over each month. Puerto Rico plans range $20-265 per month on the Healthy Options allowance.UMB Healthcare Services, a division of UMB Bank, n.a., delivers healthcare payment solutions including custodial services for health savings accounts (HSAs) and private label, multipurpose debit cards to insurance carriers, third-party administrators, software companies, employers and financial institutions.... card and check the balance. You can place your ... ‡No amounts on the CarePlus Spending Account card can be combined ... For members with the CareEssentials ...One of the ways you can find FSA / HSA eligible items is to search for what you want + adding the word "FSA" or "HSA" in front of it. Additionally, you can also search + click on the "FSA or HSA eligible" filter on the left side of your page. Using the filter ensures that all of the items you are looking at are on the eligibility ...Quick Balance Check; Toggle navigation. If your plan includes a benefit allowance, keep your current Humana Spending Account card to use next year. Your Humana Spending Account Card Benefits As a Humana member, you get more support to help you live fully. To get started, activate your card and register your online account below.The iCare Spending Account Card is redeemable for specific goods and services at select merchants and cannot be used to purchase prescription drugs or medical services that are covered by Medicare, Medicaid or other federal healthcare programs, alcohol, tobacco, e-cigarettes, firearms or ammunition, candy, electronics, toys, seasonal items or ...If you have questions and are a Humana member, please contact Customer Care at 1-800-457-4708 (TTY: 711). If you are not currently a Humana member, please contact a licensed Humana sales agent at 1-844-775-9622 (TTY: 711), 8 a.m. to 8 p.m. seven days a week from Oct. 1, 2023 - Mar. 31, 2024 and Monday - Friday the rest of the year. Humana is ...Health Flex card instead of the Humana Spending Account Card.) When using the flex allowance on the spending account card, the dental insurance benefit (DENxxx) should be applied first (by submitting a claim to Humana), and then the flex allowance can be used for out-of-pocket expenses for 2023 covered services. Here is an example:If an item is eligible for a return, we will attempt to return the OTC funds used for the initial purchase to your OTC card balance. If the funds cannot be returned to your OTC benefit card (due to your plan's balance limit, timing, or other restrictions), we will issue your refund in the form of a Walgreens gift card.There are a few ways to check your HSA or FSA balance and get other account information through your TPA, including: Over the phone — If you have a flex card, a phone number should be provided on the back for customer service or account information. When you call the number, you typically have to enter your card number, the last four digits ...Check your balance and find participating retailers for your Healthy Options, OTC or Flex allowance on your Humana Spending Account Card. This card is a Visa® debit card that can hold multiple allowances for your Humana Medicare Advantage plan.MyHumana is a secure online portal with tools to manage your plan. You can view your plan coverage details, access your ID cards, check claims status, refill …Gift cards make excellent presents that create some fun anticipation about shopping and help you get exactly the items you’re looking for. But before you run out to the mall and st...%PDF-1.5 %µµµµ 1 0 obj >>> endobj 2 0 obj > endobj 3 0 obj >/XObject >/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group ...Your new Humana Spending Account Card helps you buy the things you need. <Allowance amounts ... Check out and save Use your card to buy qualified products. Swipe the card or scan the barcode to apply allowance to the purchase. To get complete program details, use the store locator, check your balance and see the terms and conditions, ...Keep your current Humana member ID card. Humana does not issue new ID cards each plan year for members choosing to remain on their current Humana Medicare ... Check the changes in the 2023 Drug List to make sure the drugs you currently take are still covered . Check to see if your primary care doctors, specialists, hospitals and other providers ...Humana Mobile App; Tools and Resources; Taking Control of Cost; Spending Accounts. Spending Accounts Home; HumanaAccess Website; Spending Account FAQs; HumanaAccess User Guide; HSA 1099; ... How To Access ID Card. Dec 29, 2020. How to access claims. Oct 23, 2020. How do I find out my benefit information?HumanaAccess Website. Spending Account FAQs. HumanaAccess User Guide. HSA 1099. HSA Investments. Eligible Expenses. Spending Account Forms. …Healthy Foods Card just like a credit card. The card can be used at thousands of participating stores, including CVS, Dollar General, Family Dollar, Walgreens and Walmart. To see which Humana plans include this benefit, visit firstlook.Humana.com. 1. Activate the card. 2. Visit a participating store. 3. Shop for approved healthy foods. 4. Check ...Get peace of mind with the Humana Extend 2500 plan. Get dental, vision and hearing insurance coverage for the basics and more. The Humana Extend 2500 plan is focused on preventing problems before they start and getting you efficient care when issues do arise. Humana Extend 2500 plan highlights: Preventive dental exams and cleanings are 100% ...CenterWell Pharmacy™, formerly known as Humana Pharmacy ®, offers a secure prescription drug mail-delivery service that can ship your medications wherever you need them. No driving to the pharmacy. No waiting in line. They bring the pharmacy to you!*. Register for mail-order pharmacy through CenterWell.The balance of a PayPal debit MasterCard can be checked online by logging onto the official PayPal website and viewing the balance available on the account. Since the debit card de...The Humana Spend Account Card can store up to 3 Medicare Advantage outgo allowances on one easy-to-use Visa® debit card. Learn more.If you order over your allowance and you have the Humana Spending Account Card with a Healthy Options Allowance, check this box to apply the remaining balance to your Healthy Options Allowance on your Humana Spending Account card. Credit/Debit Card # Exp. Date M / Y Cardholder First Name Cardholder Last Name Cardholder Signature: Gender MaleIf you have questions and are a Humana member, please contact Customer Care at 1-800-457-4708 (TTY: 711). If you are not currently a Humana member, please contact a licensed Humana sales agent at 1-844-775-9622 (TTY: 711), 8 a.m. to 8 p.m. seven days a week from Oct. 1, 2023 - Mar. 31, 2024 and Monday - Friday the rest of the year. Humana is ...Humana Access Card: 800-604-6228 (Humana's Spending Account Administration team) ... medical check-ups and screenings, commercial members ... • Select an in-network ...Whether you got a thoughtful Visa, Mastercard, or a beloved brand's gift card, this is your one-stop shop for balance check. Simply locate your card number and security code (if applicable), fill in the fields below, and click \"Check Balance.\".FSAs are tax-advantaged accounts that let you use pre-tax dollars to pay for eligible medical expenses. You can use an FSA to save on average 30 percent 1 on healthcare costs. Don't think of it as money deducted from your paycheck—think of it as money added to your wallet.It's one smart card! Easy as 1 - 2 - 3 1. Check your account balance. You can view your transaction history, current balance, claim status and more by logging in to myflexaccount.com or via our convenient mobile app 2. Swipe your Flex Card Swipe the card at the point-of-sale for eligible products and services. 3. <strong >We're sorry but doesn't work properly without JavaScript enabled. Please enable it to continue.</strong > A health savings account (HSA) is a tax-advantaged savings account that can be used to pay for medical, dental, vision and other qualified medical expenses now or later in life. Contributions are limited annually and the funds can even be invested, making it a great addition to your retirement portfolio.Open the credit card issuer’s website or mobile app. Enter your username and password and click the button to log in. View your account details page to see your current credit card balance. You should also be able to check your Visa credit card balance over the phone by calling the number on the back of your card.Employer Election Form (EEF) is completed by/for Employer to set up HSA, HRA, FSA and/or DCFSA. Carefully review the options available for each type of spending account and be sure to provide bank account information. Follow instructions on form to submit. Initial deposit required for HRA & FSA.Select "Install" to begin. MyHumana provides quick and easy access to your Humana insurance information. - View important information you need about your plan details, including deductibles & balances. Also view information for dependents and other delegated members covered under your plan. - View, save and fax your Medical, Dental …If you order over your allowance and you have the Humana Spending Account Card with a Healthy Options Allowance, check this box to apply the remaining balance to your Healthy Options Allowance on your Humana Spending Account card. Credit/Debit Card # Exp. Date M / Y Cardholder First Name Cardholder Last Name Cardholder Signature: Gender MaleFor a $100 pair of eyeglasses, you could pay using your own money, or pay with your HSA or FSA card. When you use your HSA or FSA card, since the money comes out of your pretax account, that same pair of eyeglasses now costs you $70. It's like having a 30%* off coupon every time you use your card. Shop the Optum Store for even more savings.Activate or log in to your Humana Healthy Foods card and enjoy benefits like OTC app and scan and go.Bank of America does not sponsor or maintain the Flexible Spending Accounts (FSA) / Health Reimbursement Accounts (HRA) that you establish. The programs are sponsored and maintained solely by the employer offering the plan, or by an individual establishing an independent plan. Bank of America acts solely as claims administrator performing ...Select "Install" to begin. MyHumana provides quick and easy access to your Humana insurance information. - View important information you need about your plan details, including deductibles & balances. Also view information for dependents and other delegated members covered under your plan. - View, save and fax your Medical, Dental and Pharmacy ...BIN: 015599 PCN: 05440000. Note: If you have additional questions, call the LI NET help desk at 800-783-1307 (TTY: 711), Monday - Friday, 8 a.m. - 7 p.m., Eastern time. Submit a receipt. If you've already paid out-of-pocket for prescriptions during eligible LI NET periods, you can submit your receipt for reimbursement.Humana Spending Account Card overview SECTION 1 The Humana Spending Account Card, available on select plans for those with qualifying criteria, puts human care in action. We listened to members to discover what they struggled with. Then we got to work to make the card simple, personal and caring. Here's how. Simple: We combined up to 3 ... Check Your Card Balance. Quickly and easily check the balance on your card without logging into your account! Simply enter your card number and security code, which may be located on either the front or back of your card. Card number*. Security code*. CHECK BALANCE. Check this box if you received a debit card for your benefit account.Humana Mobile App; Tools and Resources; Taking Control of Cost; Spending Accounts. Spending Accounts Home; HumanaAccess Website; Spending Account FAQs; …The Healthy Benefits Plus Card is a versatile tool for purchasing health-related items, accepted at major retailers like Walmart, Walgreens, CVS, and more. Activate upon receipt, check balance online or by phone, and use at participating stores for eligible items. In 2024, the expanded network includes local pharmacies, online shopping options ...2024 Medicare Advantage (Part C) plans include all the coverage of Medicare Parts A and B, plus extra benefits, like dental, vision and hearing care. See plans in your area. If you order over your allowance and you have the Humana Spending Account Card with a Healthy Options Allowance, check this box to apply the remaining balance to your Healthy Options Allowance on your Humana Spending Account card. Credit/Debit Card # Exp. Date M / Y Cardholder First Name Cardholder Last Name Cardholder Signature: Gender Male Call 1-855-484-1435 (TTY: 711) Monday - Friday, 8 a.m. - 8 p.m. or request a call. 2024 Medicare Advantage (Part C) plans include all the coverage of Medicare Parts A and B, plus extra benefits, like dental, vision and hearing care. See plans in your area.Check this box if you received a debit card for your benefit account.1.Once signed into MyHumana account, hover over Coverage and select Plan Benefits. 2. On the next screen, select your member and plan period date. 3. For more specifics, you can click on Coverage Details next to the Medical Benefit Overview. This will bring you to your actual document of coverage. User16595738356592362596 (Customer) asked a ...303-894-7490. 1-800-930-3745 (outside of the Denver Metro area) [email protected]. For reimbursement information, see these details about out-of-network health care provider reimbursements. Ambulance Information: Balance billing claims related to services provided by air ambulances are governed by federal law.6 Humana Access Card for Dependents You can get a Humana Access card for your spouse and/or dependent(s) by following these steps. Spouses/partners who are also enrolled on your medical plan as of 1/1/19 will receive a new spending account on or before 1/15/19. NOTE: Cards will not be automatically mailed to your spouse/partner ifThe Humana Spending Account Card can store up to 3 Medicare Advantage spending allowances on one easy-to-use Visa® debit card. Conozca más. Saltar al contenido principal. Más secciones de Humana . Otros sitios de Humana: Para proveedores ; Para empleadores ; Para Group Medicare ;Check your balance and find participating retailers for your Healthy Options, OTC or Flex allowance on your Humana Spending Account Card. This card is a Visa® debit card that can hold multiple allowances for your Humana Medicare Advantage plan.If you lose your card, or your card has been stolen, notify BenefitHelp Solutions immediately at 888-398-8057. If a fraudulent purchase is made against your spending account, a claim must be made with Visa. Visa will credit your Benefits Card after they have completed their investigation process.*Humana 2023 plans with an over-the-counter (OTC) mail-order allowance do not have an OTC allowance on the Humana Spending Account Card and some Puerto Rico plans include a separate Humana Extra Debit Card. Using your Humana Spending Account Card at Walmart can be a convenient and cost-effective way to pay for healthcare expenses. Yes, indeed!Learn more about the Medicare Advantage plans that include a healthy food allowance (formally healthy food card): Eligible members get a grocery allowance. Buy healthy food online or in person. Shop at plan-approved stores like Walgreens, Walmart, CVS, Kroger. Some plans may cover meal delivery services.It's easy to use the funds. Humana gives you a Humana Access® Visa® Debit Card that lets you take money out of your HSA for medical expenses without the hassle ...FSA or HSA cards are a great way to save money on healthcare expenses. You can use them at Publix to buy items that qualify for the FSA/HSA card or for prescriptions in the Publix app. These items include over-the-counter drugs, prescription drugs, and health products. And if you happen to be a Club Publix member at one of the 1000+ Publix ...To buy something from Amazon using an OTC (over-the-counter) card, follow these steps: Log in to your Amazon account and find the product you want to purchase. Add the item to your cart and proceed to checkout. On the payment page, select "Add a payment method.". Choose "HSA or FSA debit card" as your payment method.The minimum is $120 per plan year. The maximum is $2,850 per plan year for 2023, and the maximum is $3,050 for the 2024 plan year. If you have a spouse who is also employed with State Government, they may contribute as much as $2,850 for 2023; they may contribute as much as $3,050 for 2024. You can roll over up to $570 of unused money into the ...The Visa® Rewards Virtual Card can be redeemed at every internet, mail order, and telephone merchant everywhere Visa debit cards are accepted. No cash access. Only valid in the U.S. The Visa Rewards Virtual Card is issued by Pathward®, N.A., Member FDIC, pursuant to a license from Visa U.S.A. Inc.Communitymanager. 0 Likes. 0 Comments. 0 Followers. Have questions regarding your spending account? View some of the most common ones asked here! Frequently Asked Questions - Spending Accounts. Files.For a $100 pair of eyeglasses, you could pay using your own money, or pay with your HSA or FSA card. When you use your HSA or FSA card, the money comes out of your pre-tax account, giving you automatic savings. It's like having a 30%* off coupon every time you use your card. Shop now. Step 2 | Set up an account • Use an email address to create a Healthy Benefits Plus account. • Check available balance, find participating retailers and view categories of approved products. • No email? No problem. Check balances here or by calling 855-396-0691 (Humana National) or 855-396-3688 (Humana PR) toll-free. Step 3 | Shop for food Members with a MyHumana account can use their MyHumana sign-in information to access Go365 for Humana Healthy Horizons. Features. Download the Go365 Humana Healthy Horizons app for iOS and Android. Manage your healthcare wherever you are with mobile apps from Humana. Review coverage, check claims and access your digital Humana member ID card.Healthcare flexible spending account. Smart savings for you and your employees. It's easy to offer healthcare benefit programs that help manage your costs while protecting your employees' financial well-being. By offering Humana's healthcare flexible spending account (FSA), you save an average of 7.65% on payroll taxes for every dollar ...This question is about Balance Transfer Credit Cards @John • 04/12/18 This answer was first published on 04/12/18. For the most current information about a financial product, you s...Humana Spending Account Card Frequently Asked Questions. Health (9 days ago) WebHumana Spending Account Card - Frequently Asked Questions you can check your balance in the following ways: • Call the phone number on the back of your Humana …Health. (4 days ago) WEBYou can easily check your food credit balance by clicking on the Check Balance button below. After checking your balance, your card will be active and you can proceed to Step 2 and find a store to shop with your …. Healthybenefitsplus.com. Category: Health Detail Health.As a Humana member, you may get chiropractic, acupuncture, massage and nutrition services at a discount through Tivity Health's WholeHealth Living Choices ®. This network has more than 35,000 licensed practitioners. Discounts on dental and vision services, hearing products, weight loss management and more for Humana members.Check Your Card Balance - Healthy Benefits Plus. Health (6 days ago) WEBCheck Your Card Balance. Quickly and easily check the balance on your card without logging into your account! Simply enter your card number and security code, which may be located on either the front or back of your card. Card number*. Security code*. CHECK ...The good news is that Walmart does accept Humana Spending Account Card. This means that you can use your card to pay for eligible healthcare items and services at Walmart stores and on their website. Some of the items and services that you can use your card for include: Prescription medications. Over-the-counter medications.If you have questions and are a Humana member, please contact Customer Care at 1-800-457-4708 (TTY: 711). If you are not currently a Humana member, please contact a licensed Humana sales agent at 1-844-775-9622 (TTY: 711), 8 a.m. to 8 p.m. seven days a week from Oct. 1, 2023 - Mar. 31, 2024 and Monday - Friday the rest of the year. Humana is ...WealthCare HSA helps individuals manage their health spending and saving needs with interactive tools, resources, and an online account portal. About; Investments; Resources. Resources Library; Login; Select Page ... Over 15 million American families carry our convenient health spending debit cards. Learn More. 866-287-2520. 1601 Trapelo Road ...

The MyHumana app makes it easier than ever to access ID cards, claims, in-network providers and drug pricing. There's more to discover inside. Download now and start exploring. Use 1 secure sign-in for all of your accounts, including MyHumana, Go365 and CenterWell Pharmacy.. Craigslist orange city fl

humana spending account card balance check

You can visit our Humana Access Spending account site at www.humanaaccess.com to view your account information. URL Name. ... How To Access ID Card. Dec 29, 2020. How to access claims. Oct 23, 2020. How do I find out my benefit information? Oct 10, 2020. Prescription Drug Lists. Mar 7, 2022.Any future reimbursement requests may be used to offset the balance due, or the member can make a payment by mailing a check or money order payable to Humana to: Humana Spending Account Administration . PO Box 14167 . Lexington, Kentucky 40512-4167 . How will a member know transactions in ineligible status are resolved?An FSA is a tool that may help employees manage their health care budget. Here's how a health and medical expense FSA works: Employers set the maximum amount that you can contribute; however, it can't exceed the IRS limit ($3,200 in 2024). 1. An FSA is not a savings account. If you leave your job, you can't take your FSA with you.Humana Mobile App; Tools and Resources; Taking Control of Cost; ... HumanaAccess Website; Spending Account FAQs; HumanaAccess User Guide; HSA 1099; HSA Investments; Eligible Expenses; Spending Account Forms; Differences Between Accounts; Health and Wellness. Health and Wellness Home ... How To Access ID Card. Dec 29, 2020. How to access claims ...1. Log in to your MyHumana account. 2. Click on View ID card under your coverage section. 3. From here, select the plan in which you would like the ID card for. 4. The options for view and print or email will be reflected. We apologize for the inconvenience and delay.Yes, Part B (Medical Insurance) helps pay for medically necessary outpatient physical therapy. Your costs: 20% of the Medicare-approved amount along with the Part B deductible of $240 in 2024. The amount you pay can depend on things like any other insurance you may have and the type of facility you use. Your doctor may also recommend services ...Plus, HMO plans usually have lower monthly premiums and copays than other plan types. Like all Medicare Advantage plans, HMO plans include all the benefits of Medicare Parts A and B—and most include coverage for prescription drugs. They also offer the added security of an annual maximum out-of-pocket cost limit. Once you've reached that ...With your Extra Benefits Card, you have a benefit amount to spend each month on approved healthy foods.*. You can buy fruits, veggies, meat and seafood. You can also get pantry staples and healthy grains like flour, spices, bread, pasta and more! Always select credit when using the card - a PIN is never needed.If you are enrolled in a HSA, the following fees will apply to your HSA effective 1/1/19. HSA Monthly Investment Account Fee - $2.50. HSA Quarterly Statement Fee - $1.50 for paper statement / $0 for electronic statement. HSA Returned Item Fee - $15.00 per incident.We will maintain the confidentiality of your personal information in accordance with our privacy policy.Humana Mobile App; Tools and Resources; Taking Control of Cost; Spending Accounts. Spending Accounts Home; HumanaAccess Website; Spending Account FAQs; HumanaAccess User Guide; HSA 1099; ... How To Access ID Card. Dec 29, 2020. How to access claims. Oct 23, 2020. How do I find out my benefit information?For a $100 pair of eyeglasses, you could pay using your own money, or pay with your HSA or FSA card. When you use your HSA or FSA card, since the money comes out of your pretax account, that same pair of eyeglasses now costs you $70. It's like having a 30%* off coupon every time you use your card. Shop the Optum Store for even more savings.If you order over your allowance and you have the Humana Spending Account Card with a Healthy Options Allowance, check this box to apply the remaining balance to your Healthy Options Allowance on your Humana Spending Account card. Credit/Debit Card # Exp. Date M / Y Cardholder First Name Cardholder Last Name Cardholder Signature: Gender Male.

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