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Blue Cross Plan & Coverage Brochures


HSA Plans -
Brochure
HIA and HIA Plus Plans -
Brochure
SmartSense
This plan will take men, whose wives or girlfriends are pregnant!!!
The woman can get AIM
Right Plan PPO 40
PPO Share $3,500/$5k/7.5K
Basic PPO Brochure
PPO $3,500 HSA
$3,500 PPO
Select HMO -
Select HMO
HMO Saver
Original HMO

Plan Matrix Double check against the most recent brochure above
Rev. 2/09
Tonik Plans

Consumer Links

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FREE Quotes from ALL Companies
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Pre Underwriting Form

Probable underwriting Pre Existing Condition form.

Rx -
Prescriptions
Formulary Search

Formulary 4
page condensed version
BC Healthy Check $25 or $75
Power Point
Links to better health
Forms
Do you need application, change request or just a letter, to change from one plan to another?
Change of Coverage Form

Change My Coverage.com

Credit Card Authorization Form
Checking Account Automatic Premium Payment
Story
about why check o matic guarantees coverage when you really need it 06/05
FAQ's
Individuals & Families
PPO Plan
HMO Plan New U.S. residents can now apply for coverage immediately. They just need to pay for an exam by a Blue Cross provider and have the doctor complete the attached Medical Report form.
Technical Links
$1,500 EOC
(Evidence of Coverage)
$1,000 EOC
Pre Service Review - Utilization - National Imaging Associates Radmd.com
Certification of importance of correct health information on application under AB 2569.

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