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How do qualify for HIPPA? You must exhausted your COBRA or Cal-COBRA benefits.
Application * Supplemental form must accompany application Supplemental form Benefit Description ~ HMO * Benefit Description ~ PPO * Provider Directory
Blue Cross
Application Benefit Description Provider Directory Credit Card Authorization
Pacifcare
HMO 10 Schedule of Benefits HMO 10 Rx Schedule
HMO 15 Schedule of Benefits HMO 15 Rx Schedule
PPO 30/80-50/1500 Schedule of Benefits PPO70/50-50/3000 Schedule of Benefits
Application Benefit Description Provider Directory
Universal Care
Application
Blue Shield
Application Provider Directory Shield Spectrum Plan 1500 Shield Spectrum Plan 2000 Credit Card Authorization
