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Blue Shield 65 Plus (HMO) offered by Blue Shield of
CaliforniaAnnual Notice of Changes for 2018
You are currently enrolled as a member of Blue Shield 65 Plus. Next year, there will be some
changes
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How to fill out blue shield 65 plus
How to fill out blue shield 65 plus
01
To fill out Blue Shield 65 Plus, you need to follow these steps:
02
Obtain the Blue Shield 65 Plus application form from their official website or any authorized agent or broker.
03
Read the instructions provided on the application form carefully.
04
Provide your personal information such as your name, address, date of birth, and social security number.
05
Fill in the details about your current healthcare coverage, including the name of your current insurance provider and policy number.
06
Indicate your desired coverage start date and any additional coverage options you wish to include.
07
Review the completed form to ensure all information is accurate and complete.
08
Sign and date the application form.
09
Submit the filled-out form by mail or online as per the instructions provided.
Who needs blue shield 65 plus?
01
Blue Shield 65 Plus is designed for individuals who meet the eligibility criteria, including:
02
- Individuals aged 65 and older
03
- US citizens or legal residents
04
- Individuals who are not enrolled in certain other Medicare-related plans
05
- Individuals looking for comprehensive healthcare coverage, including hospital care, medical services, prescription drugs, and more
06
It is recommended to consult with an authorized agent or broker to confirm if Blue Shield 65 Plus is suitable for your specific needs and circumstances.
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