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Patients must notify OMMP in writing within 10 days of any changes to:
After cards are issued, a $100 replacement card fee is required to:
Note: The replacement card fee is reduced to $20 if the patient submits proof of Supplemental Security Income (SSI) or proof of having served in the Armed Forces of the United States.
No fee payment is required and cards will not be reissued for the following change requests:
**Please keep a copy of the documents you submit.**
Need help? View our Frequently Asked Questions.
A cardholder may withdraw from OMMP at any time by submitting a signed request by mail.
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