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BLUE SHIELD 65 PLUS (HMO), BLUE SHIELD 65 PLUS CHOICE PLAN (HMO) & BLUE SHIELD TRIO MEDICARE (HMO) DISENROLLMENT FORM If you request disenrollment, you must continue to get all medical care from Blue
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Blue Shield 65 Plus is a supplemental insurance plan designed for individuals aged 65 and older.
Individuals aged 65 and older who want to supplement their existing health insurance coverage.
You can fill out Blue Shield 65 Plus by contacting the Blue Shield provider directly or through their online portal.
The purpose of Blue Shield 65 Plus is to provide additional coverage and benefits for individuals aged 65 and older.
You must report your personal information, existing insurance coverage, and any pre-existing medical conditions.
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