Evidence of Coverage and Health Service AgreementMedicare Supplement Agreement • January 15th, 2016
Contract Type FiledJanuary 15th, 2016This Evidence of Coverage and Health Service Agreement (“Agreement”) is issued by California Physi- cians’ 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.
NOTICE TO BUYER OR NEW SUBSCRIBERMedicare Supplement Agreement • December 1st, 2014
Contract Type FiledDecember 1st, 2014This policy may not cover all of your medical expenses. Please read this Agreement carefully. If you have any questions, contact the Blue Shield of California office nearest you. If you are not satisfied with the Agreement, you may surrender it by delivering or mailing it with the Identification (ID) Cards, within thirty