Medicare-Eligible Health Insurance

Medicare-Eligible Health Insurance Applications

Currently there are no online applications for Medicare-Eligible Medigap plans. 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.

AnthemAnthem Blue Cross California:
Anthem Medicare Supplemental Application

BlueBlue Shield California:
Call for Medigap Application

HealthNetHealthNet California:
Call for Medigap Application

UnitedHealthOneUnited Health California:
Call for Medigap Application

About is operated by Medicoverage Inc. DBA Regal Benefits Insurance Services, a licensed independent health insurance agency certified to sell individual, family, small group and Medicare products. contains information about and access to insurance plans for Medicare Beneficiaries, individuals soon eligible for Medicare, and those advising on behalf of Medicare beneficiaries. is not endorsed by the Centers for Medicare & Medicaid Services (CMS), the Department of Health and Human Services (DHHS) or any other government agency. Please visit our Privacy Policy to learn more about how we protect your information. We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact or 1-800-MEDICARE to get information on all of your options..Learn More
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