UniCare Authorized Agent Oleg Skurskiy (818) 654-4548


Life Annuity

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Unicare SecurityChoice 2009

SecurityChoice Classic plan, or the SecurityChoice Plus is offered by Unicare , a Medicare Advantage Private Fee-for-Service organization.

 

New  SecurityChoice Online Enrollment Application 2009
Please put a side 10 - 15 minutes aside to Enroll online - Fastest way!
If you have any questions, please call (818) 654-4548

SecurityChoice Plans and Benefits
 
Plan Brochure
Important Information for Members & Providers
Summary of Benefits
Evidence of Coverage
Classic 
PDF Format 
PDF Format 
PDF Format 
PDF Format 
Plus 
PDF Format 
PDF Format 
PDF Format 
PDF Format 
Essential 
PDF Format 
PDF Format 
PDF Format 
PDF Format 
Essential Plus 
PDF Format 
PDF Format 
PDF Format 
PDF Format 
 
 

Where is SecurityChoice Available?
SecurityChoice Service Areas
blue cross Arizona
blue cross Connecticut
blue cross Illinois
blue cross Nevada
blue cross New Hampshire
blue cross Texas
blue cross Virginia
blue cross All other states

 

You must live in one of these areas to join this plan.

 

SecurityChoice Enrollment Application Printable Application

Online enrollment application

 
 
 
ALL NEW ENROLLMENT APPLICATION MAIL TO:

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

You also can fax complete application to Fax: 1 (818) 776-9865

 
Limited Income Subsidy (LIS)
Prescription Drug Plan Conditions and Limitations
SecurityChoice Plus and Essential Plus Prescription Drug Formulary
Formulary Transition Notice
Prior Authorization Criteria
Grievance & Appeals Information (for plans without prescription drug benefits)
Grievance & Appeals Information (for plans with prescription drug benefits)
Request Form - Coverage Determination, Formulary Exception or Tiering Exception
Quality Assurance (for plans without prescription drug benefits)
Quality Assurance (for plans with prescription drug benefits)
Appointment of Representative Form
Prescription Drug Claim Form
HIPAA Privacy Notice
 
If you are interested in getting more information about SecurityChoice, contact your UniCare agent (818) 654-4548

SecurityChoice allows you to see any licensed physician who can provide services to Medicare beneficiaries and who is willing to accept the terms and conditions of the SecurityChoice plan. You are not required to see a primary care physician or to get a referral to see a specialist. And now you have more choices than ever. You may select from four options: the SecurityChoice Classic plan, or the SecurityChoice Plus plan, which also includes Part D prescription drug coverage, SecurityChoice Enhanced and SecurityChoice Enhanced Plus which also includes Part D prescription drug coverage.


Monthly plan premiums range from $0 to $91 depending on which plan you select and your county of residence. (You must continue to pay your Medicare Part B premiums no matter which plan you choose.)

Where is SecurityChoice Available?
 
2009 UniCare SecurityChoice Service Areas
 
Arizona
Classic and Plus plans available in the following counties:
Cochise, Graham, Greenlee, Maricopa, Mohave, Pima, Santa Cruz and Yavapai
Essential and Essential Plus plans available in the following counties:
Apache, Coconino, Navajo and Pinal

Connecticut

Classic and Plus plans available in the following counties
Middlesex county

Online Enrollment Application
 
Illinois
Classic and Plus plans available in the following counties:
Adams, Alexander, Boone, Brown, Calhoun, Carroll, Cass, Champaign, Clark, Clay, Clinton, Coles, Crawford, Cumberland, DeKalb, Douglas, Edgar, Edwards, Ford, Gallatin, Greene, Hamilton, Hancock, Henry, Jasper, Jo Daviess, Johnson, Kendall, Logan, Madison, Marshall, McDonough, McLean, Menard, Mercer, Monroe, Morgan, Moultrie, Ogle, Peoria, Piatt, Pike, Pope, Pulaski, Richland, Sangamon, Schuyler, Scott, St. Clair, Stark, Stephenson, Tazewell, Union, Warren, White, Winnebago and Woodford
Essential and Essential Plus plans available in the following counties:
Bond, Bureau, Effingham, Fulton, Hardin, Jefferson, Kankakee, La Salle, Lee, Macon, Macoupin, Mason, Massac, Rock Island, Saline, Shelby, Vermilion, Washington, Wayne, Whiteside and Williamson

Nevada
Classic and Plus plans available in the following counties:
Churchill, Elko, Esmeralda, Eureka, Humboldt, Lander and Washoe

New Hampshire
Classic and Plus plans available in the following counties:
Carroll and Grafton

Online Enrollment Application
 
Texas
Classic and Plus plans available in the following counties:
Anderson, Aransas, Atascosa, Austin, Bee, Bexar, Borden, Brewster, Brooks, Camp, Carson, Cass, Chambers, Childress, Cooke, Coleman, Collin, Collingsworth, Concho, Crane, Crockett, Culberson, Dallas, Deaf Smith, Delta, Dimmit, Duval, Edwards, El Paso, Ellis, Fort Bend, Frio, Galveston, Garza, Glasscock, Guadalupe, Hall, Hansford, Hardin, Harris, Hartley, Haskell, Hemphill, Hopkins, Howard, Hudspeth, Irion, Jack, Jasper, Jefferson, Jim Hogg, Jim Wells, Johnson, Kaufman, Kenedy, Kent, Kinney, Kleberg, Knox, La Salle, Lamar, Lee, Liberty, Limestone, Lipscomb, Live Oak, Loving, Lynn, Martin, Mason, Maverick, McCulloch, Medina, Menard, Montague, Montgomery, Morris, Nolan, Nueces, Oldham, Orange, Panola, Parker, Presidio, Rains, Randall, Roberts, Rockwall, San Jacinto, San Patricio, Shackelford, Sterling, Tarrant, Terrell, Throckmorton, Titus, Upton, Val Verde, Washington, Wilson, Wood and Zavala
Essential and Essential Plus plans available in the following counties:
Angelina, Armstrong, Bowie, Brazoria, Brown, Burleson, Calhoun, Callahan, Clay, Comanche, Denton, Eastland, Erath, Franklin, Gillespie, Gray, Gregg, Grimes, Harrison, Hays, Hill, Hockley, Hood, Houston, Hunt, Jeff Davis, Jones, Kendall, Leon, Marion, McLennan, McMullen, Midland, Navarro, Newton, Ochiltree, Parmer, Polk, Reagan, Red River, Reeves, Runnels, Rusk, San Augustine, San Saba, Smith, Taylor, Tom Green, Trinity, Tyler, Upshur, Uvalde, Van Zandt, Walker, Webb, Wheeler, Wilbarger, Winkler, Wise, Yoakum and Zapata

Virginia
Classic and Plus plans available in the following counties:
Alexandria City, Amelia, Amherst, Appomattox, Arlington, Bedford, Bedford City, Botetourt, Bristol City, Buena Vista City, Campbell, Carroll, Charlotte, Chesapeake City, Chesterfield, Clarke, Colonial Heights City, Craig, Culpeper, Cumberland, Dinwiddie, Emporia City, Fairfax, Fairfax City, Falls Church City, Floyd, Franklin, Galax City, Giles, Gloucester, Goochland, Grayson, Greensville, Halifax, Hampton City, Hanover, Harrisonburg City, Henry, Highland, Isle of Wight, James City, King William, King and Queen, Lancaster, Lexington City, Lunenburg, Lynchburg City, Manassas Park City, Martinsville City, Mathews, Mecklenburg, Middlesex, New Kent, Newport News City, Norfolk City, Northampton, Nottoway, Patrick, Pittsylvania, Poquoson City, Portsmouth City, Powhatan, Prince Edward, Prince William, Roanoke, Roanoke City, Rockbridge, Rockingham, Salem City, Scott, Shenandoah, Smyth, Surry, Sussex, Virginia Beach City, Warren, Washington, Williamsburg City, Wythe and York
 
blue cross All other states
 
 
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If you are interested to learn more please submit this request
 
 
 
 
 
 
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Copyright © 2005 Oleg Skurskiy Authorized Independent Agent, CA License 0E50389
 
 

The SecurityChoice Plan is available in the following Nevada counties:

  • Churchill and Eureka

The SecurityChoice Plan is available in the following Nevada counties:

  • Elko, Esmeralda, Humboldt, Lander, Washoe