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OLEG
SKURSKIY (818) 654 -4548 |
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| Authorized
Agent for Blue Shield of California |
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you are outside of California Select your
state >> |
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Blue
Shield of California Medicare 65 Plus HMO -
Information & Applications - 2012 |
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Blue Shield is bringing you more
affordable, easy-to-understand plan benefits this
year. It's not too early to start thinking about
how to get more out of Original Medicare with
a Medicare Advantage-Prescription Drug Plan (MA-PD).
Our plans offer the same basic benefits of Original
Medicare plus so much more including:
- $0 monthly plan premium
- $0 or low doctor visit copays, depending
on where you live
- $0 outpatient surgery copays, (Los Angeles,
Orange and San Bernardino counties only)
We offer MA-PD plans in Orange County,
partial areas of Los Angeles County and areas
of Riverside and San Bernardino counties.
Coverage varies depending on where you live
and which plan you select
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Blue
Shield 65 Plus HMO Benefit Overview |
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Los Angeles & Orange County (PDF,
250KB) |
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Los Angeles & Orange County (Spanish)
(PDF, 161KB) |
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Riverside County (PDF,
133KB) |
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Riverside County (Spanish) (PDF,
162KB) |
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San Bernardino County (PDF,
126KB) |
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San Bernardino County (Spanish) (PDF,
161KB) |
| Blue
Shield 65 Plus Choice Plan (HMO) Summary
of Benefits (PDF,
154KB) |
| Blue
Shield 65 Plus Choice Plan (HMO) Summary
of Benefits (Spanish) (PDF,
206KB) |
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Formulary
:
Select a plan below to see a formulary list of drugs covered
The formularies are in PDF format, and to download one you will need Adobe
Reader.
2012
MA-PD (Blue Shield 65 Plus (HMO)) Formulary (PDF,
361KB)
Find out which drugs are covered under your Blue Shield 65 Plus (HMO) Plan.
2012
MA-PD (Blue Shield 65 Plus Choice Plan
(HMO)) Formulary (PDF,
354KB)
Find out which drugs are covered under your Blue Shield 65 Plus Choice Plan
(HMO).
2012
GMA-PD (Blue Shield 65 Plus (HMO) Group
Plan) Formulary (PDF,
245KB)
Find out which drugs are covered under your Blue Shield 65 Plus (HMO) Group
Plan.
2012
PDP Formulary (PDF,
588KB)
2012
PDP Formulary (Employer Group only) (PDF,
374KB
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| Blue
Shield 65 Plus (HMO) Formulary (PDF,
232KB) |
| Blue
Shield 65 Plus Choice Plan (HMO) Formulary
(PDF, 232KB) |
| Blue
Shield 65 Plus (HMO) Pharmacy Directory
(PDF, 143KB) |
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Mail
your enrollment application to the address below:
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 |
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