Common Contracts
1 similar Medicare Supplement Plan Agreement contracts
EVIDENCE OF COVERAGE AND HEALTH SERVICE AGREEMENTMedicare Supplement Plan Agreement • December 13th, 2024
This Evidence of Coverage and Health Service Agreement (“Agreement’) is issued by California Physicians’ 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.