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	Anthem Blue Cross Part D Prescription Plan
Toll Free (877)566-5454

(Below links do not work with Firefox browser):

•  Plan D Standard, Plus & Gold Brochure
•  Plan D Standard, Plus & Gold Benefits
•  Plan D California Application
•  Standard Plan Evidence of Coverage
•  Plus Plan Evidence of Coverage
•  Gold Plan Evidence of Coverage
•  MedicareRX Formulary Lookup

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Mail all applications to:

BARRICKS INSURANCE SERVICES
13900 NW PASSAGE #302
MARINA DEL REY, CA 90292

OR FAX TO 1-310-827-0256

Download a "Choosing a Medigap Policy" Brochure

Download a "Medicare & you" Brochure

Download a "Your Medicare Benefits" Brochure

Download a "Understanding Medicare Enrollment Periods" Brochure

Download a "Medicare Coverage Outside the United States"

Fill in this form to have your Anthem Blue Cross Medicare Part D Prescription Drug brochure with pricing & application mailed to you. Further information on our plans is shown below. Or just call us Toll-free at 1-877-566-5454.

Customer Information
Full Full Name
E-mail
Street Address
City
County
State
Zip Code
Contact Phone
FAX
Our Ages	My Age or DOB       Spouse's Age
People Covered	-- Please Select -- Me Only Me and Spouse
Type of Enrollment	-- Please Select -- New to Medicare (IEP) Annual Enrollment Period (AEP)

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Important Disclaimer:  Answers and comments provided above are general information, and are not intended to substitute for informed professional medical, psychiatric, psychological, tax, legal, investment, accounting, governmental, or other professional advice. We do not endorse, and expressly disclaims liability for any product, manufacturer, distributor, service, health plan, or service provider mentioned or any opinion expressed in the website.  Replies, comments, or information gathered on BarricksInsurance.com  website may not be accurate but are intended to be helpful.
Anthem Blue Cross Life and Health Insurance Company (Anthem) has contracted with the Centers for Medicare and Medicaid Services (CMS) to offer the Medicare Prescription Drug Plans (PDPs) noted above or herein Anthem is the state-licensed, risk-bearing entity offering these plans. Anthem has retained the services of its related companies and authorized agents/brokers/producers to provide administrative services and/or to make the PDPs available in this region. Anthem Blue Cross Life and Health Insurance Company is an independent licensee of the Blue Cross Association. ® ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross name and symbol are registered marks of the Blue Cross Association.