Common Contracts
2 similar Medicare Supplement Plan G Extra contracts
Evidence of Coverage and Health Service AgreementMedicare Supplement Plan G Extra • October 19th, 2023
This Evidence of Coverage and Health Service Agreement (“Agreement”) is issued by California Physicians’ Service dba Blue Shield of California (“Blue Shield”), a health care service plan, to the Subscriber whose name, group number, Subscriber identification number, and Effective Date shall appear on his or her identification card.
Evidence of Coverage and Health Service AgreementMedicare Supplement Plan G Extra • August 30th, 2022
This Evidence of Coverage and Health Service Agreement (“Agreement”) is issued by California Physicians’ Service dba Blue Shield of California (“Blue Shield”), a health care service plan, to the Subscriber whose name, group number, Subscriber identification number, and Effective Date shall appear on his or her identification card.
