Anthem Blue Cross Medicare Plan D Prescriptions  Anthem Blue Cross Medicare
Part D Prescription Plan 		 Anthem Blue Cross Medicare Plan D Prescriptions
Or call (877)566-5454 Toll Free
Anthem Blue Cross MEDICARE PART D PLANS 2009 CA MONTHLY RATES
(Call us or send for brochure below for rates in other states)
MedicareRx Value
MedicareRx Plus
MedicareRx Gold
$28.90 $36.50 $65.40
     
In-Network In-Network In-Network
$130 Deductible $0 Deductible $0 Deductible

INITIAL ENROLLMENT PERIOD AT AGE 65:

When you reach age 65 and you sign up for Medicare Part B, you have a one-time seven-month period (three months before, three months after and the month of your birthday) during which you may purchase a Plan D Prescription Drug policy.

ANNUAL ELECTION PERIOD:

You can only disenroll or switch plans once per year during the Annual Election Period (AEP) November 15 to December 31 of each year for benefits that will begin January 1st.

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Mail all applications to:

BARRICKS INSURANCE SERVICES
13900 NW PASSAGE #302
MARINA DEL REY, CA 90292

OR FAX TO 1-310-827-0256

health insurance EKG

Fill in this form to have your Anthem Blue Cross Medicare Part D Prescription Drug brochure with pricing & application mailed to you. Further information on our plans is shown below. Or just call us Toll-free at 1-877-566-5454.
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Barricks Insurance Services
13900 NW Passage #302, Marina Del Rey, CA 90292
Phone:   (310) 827-7286    |   Fax:   (310) 827-0256
Toll-Free 1-877-Look4Life  (1-877-566-5454)

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