|
* Covered when you use a Participating Prudent Buyer
Provider with just a $5 office visit co-pay.
** Covered only when you use a Participating Prudent Buyer Provider.
+ Prescription drug benefit covered only when using
a Participating Pharmacy or Mail Order Program: Combined $250 annual
deductible, 50% coinsurance, $1,250 maximum annual benefit for Blue Cross
Senior Classic I, $3,000 maximum annual benefit for Blue Cross Senior
Classic J.
These plans are intended only for people age 65 or
older, who are enrolled in both Parts A and B of Medicare.
Toll free 1(800) 610-6418 - William
Lorenz, CA LIc. 0D61899
Not connected with or endorsed by the U.S.
Government or the Federal Medicare program.
Blue Cross Senior Classic C, Blue Cross Senior
Classic F, Blue Cross Senior Classic I and Blue Cross Senior Classic J are
Medicare SELECT plans.
|
