Anthem Blue Cross Select Basic Plan HMO Evidence …

Contracted by the CalPERS Board of Administration Under the Public Employees Medical & Hospital Care Act (PEMHCA) Anthem Blue Cross Select Basic PlanHealth Maintenance Organization (HMO) Evidence of Coverage and Disclosure Form for the Basic Plan Effective January 1, 2018 2018 Anthem Blue Cross Select HMO Plan Combined Evidence of Coverage and Disclosure Form Anthem Blue Cross 21555 Oxnard Street Woodland Hills, California 91367 Phone Number: 1-855-839-4524 This booklet, called the Combined Evidence of Coverage and Disclosure Form , gives you important information about your health plan. This booklet must be consulted to determine the exact terms and conditions of coverage. If you have special health care needs, you should read those sections of the Evidence of Coverage that apply to those needs. Many words used in this booklet are explained in the Important Words to Know section starting on page 90. When reading through this booklet, check that section to be sure that you understand what these words mean.

Jan 01, 2018 · Combined Evidence of Coverage and Disclosure Form Anthem Blue Cross 21555 Oxnard Street

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