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Blue Cross Freedom Blue PPO
Information & Application - For Medicare Eligible Individuals in California
 

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Patrick Insurance
License 0681034


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Blue Cross Freedom Blue PPO  

"...you have the freedom to choose any doctor whether they're in or out of our network. In fact, with Freedom Blue PPO you can go to any doctor who accepts Medicare, plus you have a network of providers to help keep your out-of-pocket costs low."

--Freedom Blue brochure 8237MU B 1 (8/07)
 
 
Blue Cross Freedom Blue PPO offers an affordable and flexible health plan option for Medicare eligible individuals in California. The plan provides benefits for medically necessary:
  • Doctor Office Visits (No Deductible)
  • Impatient Hospital Services
  • Emergency Care Services
  • Ambulance Services
  • Durable Medical Equipment
  • Diagnostic Tests, Including X-rays and Laboratory Services

Freedom Blue also provides coverage for the following routine services that are not covered by original medicare:

  • Physical Exams (No Deductible)
  • Vision Services, Including Eyewear
  • Hearing Services, Including Hearing Aids

Freedom Blue includes all of that plus Medicare Part D prescription drug coverage.

Open enrollment begins Nov. 15th for the 2008 plan year. The monthly premium for Plan I (with a $1125 deductible) is $0. Plan II features a lower deductible (a $600 deductible), with monthly plan premium of just $50. (You continue to pay your Medicare Part B premium no matter which plan you choose.)

Below you'll find an application as well as complete plan information. We cannot accept applications until after November 15. As always, if you have any questions about this information just call 1-800-794-7322 during normal business hours.

Mail application to:

New Membership/Attn. Tim Patrick
P.O. Box 833
Camarillo, CA 93011

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