Blue Cross 2007 Evidences of Coverage

Blue Cross HMO Plan
LACERS CA Members under age 65 or 65+ with only Medicare Part B & no Part D

pdf file name:22357-3hmo-2007

Blue Cross HMO Plan
LACERS CA Members 65+ with only Medicare Part B & Part D

pdf file name: 22357-6hmo-PtD-07
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Prescription Drug Coverage for LACERS CA Members 65+ with only Medicare Part B & D

pdf file name: MRxPR3-1-2007

Prudent Buyer Dental Plan
LACERS CA Members

pdf file name:WD-2 2007

National Dental PPO Plan
LACERS Non-CA Members

pdf file name:WD-nat-3-2007

Medical-PPO/Medicare Supplement - Non-California with Part D

Blue Card (Medicare Part B Only)
LACERS Non-CA Members age 65+ with only Medicare Part B & Part D

pdf file name: BC-7-2007-PartDMed
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Prescription Drug Coverage for LACERS Non-CA Members 65+ with only Medicare Part B & D

pdf file name: MRxPR3-1-2007
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Assurance 90
LACERS Non-CA Members with Medicare Parts A&B and Part D

pdf file name: as90-2007-PrtD
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Prescription Drug Coverage for LACERS Non-CA Members 65+ with Medicare Parts A & B and Part D

pdf file name: MRxPR3-BCLife-2007
--------------------------------

Fee for Service Medical Retiree enrolled in D
LACERS Members residing outside of U.S.

pdf file name:ffs-9-PrtD-200710-24-06

Medical - PPO/Medicare Supplement-California with no Part D

Prudent Buyer
LACERS CA Members under age 65-PPO

pdf file name:Pb-2007-under65
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Prudent Buyer (Medicare Part B Only) with RX
LACERS CA Members age 65+ with only Medicare Part B & no Part D

pdf file name: pb-4-2007-PartB
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Assurance Plus 90 with RX
LACERS CA Member with Medicare Parts A&B and no Part D

pdf file name: asplus-2007

Medical-PPO/Medicare Supplement - Non-California with no Part D

Blue Card
LACERS Non-CA Members under age 65-PPO

pdf file name: bc-1-2007
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Blue Card (Medicare Part B Only) with RX
LACERS Non-CA Members age 65+ with only Medicare Part B & no Part D

pdf file name: BC-4-2007-Part B
------------------------------

Assurance 90 with RX
LACERS Non-CA Members with Medicare Parts A&B and no Part D

pdf file name: as90-2007
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Fee for Service Medical
LACERS Members residing outside of U.S.

pdf file name: ffs-2007