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


Insurance services provided by Medicoverage Inc. DBA Regal Benefits insurance services. Medicoverage is a comprehensive national online health insurance resource. Medicoverage is not an insurance provider. We offer general medical coverage information, accurate health quotes, and links to secured online applications once you're ready to purchase. There is no cost or fee to work with us.Learn More
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