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Get the free Blue Shield 65 Plus Choice Plan (HMO) - Blue Shield of California

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Los Angeles (partial)/Orange countiesBlue Shield 65 Plus Choice Plan (HMO) Summary of Benefits Medicare Advantage Prescription Drug Plan Effective January 1 through December 31, 2017H0504×16×230B×021
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01
To fill out Blue Shield 65 Plus, follow these steps:
02
Gather the necessary information: You will need your personal information, such as name, address, and contact details.
03
Read the instructions: Carefully go through the instructions provided with the form to understand the requirements.
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Complete the personal information section: Fill out your personal details accurately and double-check for any errors.
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Provide Medicare details: If you have Medicare, you will need to enter your Medicare number and any other requested details.
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Provide additional information: Depending on the form, you may be required to provide additional information, such as medical history or current medications.
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Review and sign the form: Carefully review all the information you entered and sign the form as required.
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Submit the form: Follow the instructions provided to submit the form either by mail or online.
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Keep a copy: Make a copy of the filled out form for your records.
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It is recommended to consult with an agent or refer to the Blue Shield website for specific instructions and additional guidance.

Who needs blue shield 65 plus?

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Blue Shield 65 Plus is designed for individuals who are 65 years or older and are eligible for Medicare.
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People who want comprehensive healthcare coverage including prescription drugs, doctor visits, hospital stays, and other medical services can benefit from Blue Shield 65 Plus.
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Individuals who prefer the convenience of a single health plan that combines both Medicare Part A and Part B coverage can consider Blue Shield 65 Plus.
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Those who want access to a network of doctors, hospitals, and specialists within the Blue Shield network would find Blue Shield 65 Plus suitable.
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It is important to review the specific eligibility criteria and coverage details to determine if Blue Shield 65 Plus is the right choice.
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