Medicare-Eligible Health Insurance
Medicare-Eligible Health Insurance Applications
Currently there are no online applications for Medicare-Eligible Medigap plans. Senior65.com is in the process of developing a new online Medigap application, but in the meantime, you will need to select one of the plans below, print out the associated health insurance application PDF, fill it out, and then fax it to us at the number on the cover sheet. If you are applying for a plan outside of California, please contact us.
Anthem Blue Cross California:
Anthem Medicare Supplemental Application
Blue Shield California:
Call for Medigap Application
HealthNet California:
Call for Medigap Application
United Health California:
Call for Medigap Application