Authorized Independent Agent: Bill Hammett IV CA L#0E04722
Insurance. Simplified.
|
|
|
|
| 858.309.8801 | |
| bill@hammetthealth.com | |
Authorized Independent Agent: Bill Hammett IV CA L#0E04722 |
Insurance. Simplified. |
Travel |
|
|
|
| Application Forms |
| IFP Individual and Family Plans App |
|
|
| Part D Prescription Drug Plans App |
| Automatic Payment Forms |
Auto Pay IFP: Credit Card or Checking |
| Auto Pay Med Supp: Credit Card or Checking |
| Auto Pay Part D Drug Plans: Medicare Rx Part D - Checking or Savings Only |
| Dental Forms |
| IFP Dental Enrollment Card and Dental Summary |
| Senior Dental (Medicare Supplement) Enrollment Card and Dental Summary |
| Individual and Family Health Plan Brochures (IFP) |
| IFP Evidence of Coverage Click Here |
| IFP HPAAG: Health Plans at a Glance |
| IFP Choosing your Health Plan CSOB |
| IFP Disclosures and Exclusions |
| IFP Plan Benefit Sheets |
| Active Start Plans |
| Balance Plans |
| Essential Plans |
| 2400 and 4000 Plans |
| 500 to 2000 Plans |
| PPO 5000 Plan |
| Vital Shield 2900 |
| Medicare Supplement Plan Brochures & Forms(Seniors) |
| Medicare Supplement Plan F Evidence of Coverage (EOC) |
| Guaranteed Acceptance Guide: Medicare Supplement |
| Medicare Supp Summary of Benefits |
| Medicare Supp Replacement of Coverage Form |
| Part D Prescription Drug Plan Brochures (Seniors) |
| Part D Overview |
| Part D: Summary of Benefits |
| Part D: Formulary |
| Rates for IFP, GI, Medicare Supplement and Part D Plans |
| Rates: IFP Individual and Family Plans (Tier 1 Only) |
| Rates: IFP All Tiers (35 MB) |
| Rates: GI Guaranteed Issue IFP Plans (HIPAA Plans) |
| Rates: Medicare Supplement |
| Rates Part D Prescription Drug Plans |
| Service Forms for Existing Blue Shield Members |
Beneficiary Change Form: Life Insurance Beneficiary Change |
Claim Form: IFP Subscribers : To submit a claim directly to Blue Shield when you use a Non-Preferred Provider |
Claim Form: Dental : Use when you have PPO Dental and you use a Non-Participating provider. |
| Claim Form: International BlueCard Worldwide. Use when you have medical services received outside of the United States, Puerto Rico and the US Virgin Islands. |
| Claim Form: Life Insurance - For clients with life insurance, use this form, requires a Proof of Death Claim Form. |
| Claim Form: Medicare Supplement |
Claim Form: Vision : To submit a claim directly to Blue Shield when use a out-of-network provider. |
Life Insurance Evidence of Insurability : To add life coverage after you have enrolled in a health plan. |
Transfer Form IFP (Non-Underwritten): To change plans when FREE Transfer or downgrade according to the Transfer Ranking List. |
Transfer Form IFP (Underwritten) : To change plans when "upgrading." To unbundle or bundle your policy. Subject to Medical Underwriting. |
Transfer Form Medicare Supplement To transfer or change your Medicare Supplement Plan |
Transfer Ranking List : Guide to Free Transfers or downgrades |
| Resources and Contacts Member Serive Phone #s and Fax#s |
| Agent Resource Guides |
| Just Rates Page 2 - San Diego, CA GI, Dental, Term, Med Supp and Part D all on 1 page |
| How To Submit Med Supp & Part D Apps |
| Medicare At A Glance 2008 2 page summary of Medicare Parts A, B, C and D as well as Supplements |
| RSM Resource Card |
| Rates: $10 off Medicare Supplement |
| Underwriting |
| Underwriting Guide IFP : Application Guide |
| Underwriting Probable Request Form |
| Small Group |
| Small Group Underwriting Guidelines |
| Small Group Underwriting Quick Start |
 |
|||||
Products |
|||||
Individuals Individual & Family Plans Youthcare / Dependent Coverage Short Term Health Plans Student Health Plans International Plans Medicare-Eligible Plans Self-Employed Plans Guaranteed Issue Plans HIPAA |
Groups & Employers |
Seniors Original Medicare Medicare Supplements Medicare Advantage Plans Medicare HMO, PPO and PFFS Part D Prescription Drug Plans |
Dental |
||
Tax Advantaged |
Government Programs |
|||
HSA Health Savings Accounts FSA Flexible Spending Account HRA Health Reimbursement Account MSA Medical Savings Account |
Healthy Families |
Medicare Medicare Part A Medicare Part B Medicare Part C Medicare Part D |
||
|
