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| Enrollment
questions or assistance please call (818) 654-4548 |
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FAQ's |
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| NEW
>
Compare Freedom Blue PPO Side -by - Side - 2007 |
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| Freedom
Blue PPO I & II
Vs. Kaiser
Permanente Senior HMO |
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Submit
application Express by fax today.
Fax
: 818-776-9865
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The drug
benefit has been improved!!!
Freedom
Blue
Plan I and Plan II both include
MedicareRx Part D prescription drug coverage,
for no additional cost! and cover the
"donut hole"
See the Summary
of Benefits
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| Freedom
Blue Plan I (R9943-001) |
Freedom
Blue Plan II (R9943-002) |
| Total
Premium $0.00/month |
Total
Premium $50.00/month ($600.00/year)
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You pay $10
for each in-network primary
care doctor office visit for
Medicare-covered services.
You pay $10 for each in-network
specialist visit for Medicare-covered
services.
You pay 20% of cost for services
received from an out-of-network
provider. View
full benefits for more details |
You pay $10 for
each in-network primary care
doctor office visit for Medicare-covered
services. You pay $10 for
each in-network specialist
visit for Medicare-covered
services.
You pay 20% of cost for services
received from an out-of-network
provider View
full benefits for more details |
| $
500 yearly deductible |
$
1000 yearly deductible |
Freedom
Blue PPO Application -2007-Downloadable
/ Printable 
|
| Freedom
Blue
Plan I and Plan I
includes Medicare Part D Prescription
Drug Coverage. |
| Total
annual deductible $0 |
Total
annual deductible $0 |
|
Generic: $10
Preferred Brand: $30
Non-Preferred Brand: $60
Non-Specialty Injectables:
30%
Specialty Injectables: 30% |
Generic: $10
Preferred Brand: $30
Non-Preferred Brand: $60
Non-Specialty Injectables:
30%
Specialty Injectables: 30% |
| Prescription
Drug List -2007 - Downloadable
/ Printable |
|
Freedom
Blue PPO Application
-2007-Downloadable
/ Printable
|
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Request
the Application Now!
( New Enrollment
only . If you are current member
with Blue Cross on any Medicare
Supplement, Advantage or Rx plans
please call the number on your card.) |
(You
must continue to pay your Medicare Part
B premiums no matter which plan you choose.)
* This is just a brief summary of the
plan benefits. |
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| Blue
Cross Freedom Blue PPO 2007
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- Blue
Cross Freedom Blue Provider
Finder is your online
resource for finding doctors,
hospitals and other health professionals
that participate in your current
plan or a different Blue Cross
plan. Follow the step-by-step
instructions to find providers
that match your custom search
criteria. Blue Cross of California
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As a person
with Medicare, you have choices in
how you get your Medicare Prescription
Drug coverage Select below |
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| If
you have any questions, please call
(818) 654-4548 or Contact
Us |
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| Mail
Application to: |
Oleg
Skurskiy
18375 Ventura Blvd. # 226
Tarzana , CA 91356
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| You
also can fax complete application to Fax
# : 1-818-776-9865 |
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