Blue Shield of California  OLEG SKURSKIY (818) 987-5000  

Authorized Agent for Blue Shield of California

Group Life Annuity

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Blue Shield of California Medicare 65 Plus HMO - Information & Applications


Visit Find a Provider to see if the doctor you are currently seeing is a part of our network or to select a physician.

Pharmacy Directory

Blue Shield 65 Plus HMO Benefit Overview 2014

You can download a comprehensive plan description - a document called an Evidence of Coverage - for each area and plan type, as well as a Summary of Benefits.

For Los Angeles and Orange Counties:

For San Bernardino County:

For Sacramento County:

For San Diego County:

For Riverside County:

For Ventura County

For Contra Costa County

For Fresno County

For Santa Clara County

For Blue Shield 65 Plus Choice Plan (HMO):

Download Physicians Directory

You can download a copy of our printed directories. For the most up-to-date listing of providers in your area visit Find a Provider.

Download the Medicare Plan Ratings Information*  (PDF, 129KB)

Download the Multi-Language Insert (PDF, 249KB)

*Medicare evaluates plans based on 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.



Formulary List

Blue Shield 65 Plus (HMO) Plan in Los Angeles and Orange counties

Blue Shield 65 Plus (HMO) Plan in Riverside and San Bernardino counties

Blue Shield 65 Plus (HMO) Plan in Contra Costa, Fresno, Santa Clara, Sacramento, San Diego and Ventura counties

Blue Shield 65 Plus Choice Plan (HMO)

Blue Shield Medicare Prescription Drug Plans

Coverage Through Your Former Employer/Union

If you have coverage through your former employer or union, please use one of the formularies listed below.

Blue Shield 65 Plus HMO Plan

Blue Shield of California Prescription Drug Plan



Mail your enrollment application to the address below:

Blue Shield Medicare Advantage HMO (pdp) Application

Blue Shield Medicare Advantage HMO Application - Online

Oleg Skurskiy
18375 Ventura Blvd. # 226
Tarzana , CA 91356

Or can fax complete application to Fax: (818) 776-9865


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Copyright © 2005 Oleg Skurskiy Authorized Independent Agent, CA License 0E50389