 |
Anthem of Nevada
Health Insurance |
|
| Oleg Skurskiy Authorized
Independent Agent for Anthem |
|
|
Anthem
Blue MedicareRx Part D - Nevada |
|
|
| |
|
| |
| Forms:
Formulary
Transition Notice
Prior
Authorization Criteria
Request
Form - Coverage Determination, Formulary Exception
or Tiering Exception: Medicare Part D enrollees
can use this form to request coverage determinations
(including tiering or formulary exception requests)
from their Medicare Part D plan sponsor.
Conditions
and Limitations: By law, certain types of
drugs or categories of drugs are not covered
by Medicare Prescription Drug Plans. These drugs
or categories of drugs are called "exclusions".
Out
of Network Prescription Drug Coverage: Review
the procedures for filling prescriptions outside
of the network
Paper
Claim Form for Prescription Drugs
Prescription Mail Order Forms
For more information on how this mail order
program works and to download and complete the
mail order form:
Prescription
Mail Order Service |
| |
| |
|
| |
| |
| |
| |
Material Identification C0003_09_030,
CMS Approved Date 10/2008
Last Updated 12/2008 |
| |
| Anthem
Blue Medicare Supplement plans - Nevada |
| |
|
| |
- Unicare
SecurityChoice PFFS - Any age on Medicare
A & B part -
Private Fee-for-Service Unicare
SecurityChoice Monthly plan premiums range
from $0 to $91 depending on
which plan you select and your county of residence.
(You must continue to pay your Medicare Part
B premiums no matter which plan you choose.)
|
| |
| |
| |
| |
 
Anthem Blue MedicareRx
- Nevada |
| ALL
APPLICATION MAIL TO: |
Oleg
Skurskiy
18375 Ventura Blvd. # 226
Tarzana , CA 91356 |
You
also can fax complete application to Fax:
(818) 776-9865
If you
have any questions, please call (818)
654-4548 |
|
| |
Anthem Insurance Companies, Inc (AICI) is the
legal entity under contract with the Centers for
Medicare and Medicaid Services (CMS) authorized
to offer the applicable Medicare Prescription
Drug (Part D) plans and services in this region.
AICI is the legal entity licensed under applicable
state law or under a federal waiver program that
is authorized to offer these Part D plans. AICI
has partnered with its affiliated local companies
to provide various administrative and management
services for these Part D plan(s).
Anthem Blue Cross and Blue Shield is the trade
name for the following: In Connecticut: Anthem
Health Plans, Inc. In Colorado, Rocky Mountain
Hospital and Medical Service, Inc. In Indiana:
Anthem Insurance Companies, Inc. In Kentucky:
Anthem Health Plans of Kentucky. In Maine: Anthem
Health Plans of Maine, Inc. In Nevada: Rocky Mountain
Hospital and Medical Service, Inc. In New Hampshire:
Anthem Health Plans of New Hampshire, Inc. In
Ohio: Community Insurance Company. In Virginia:
Anthem Health Plans of Virginia, Inc. Independent
licensees of the Blue Cross and Blue Shield Association.
Serving residents and businesses in Indiana, Kentucky,
Ohio, Colorado, Nevada, Connecticut, Maine, New
Hampshire and Virginia (excluding the city of
Fairfax, the town of Vienna and the area east
of State Route 123). |
|
|
|
|
Copyright © 2005 Oleg Skurskiy Authorized
Independent Agent, CA License 0E50389 |
|
Printable