www.texasplans.com  Privacy Statement:  This information will not be sold, distributed, or given to any third party.  It is solely used to send information you are requesting.

 
Send Requested Information to:                                                                  I want insurance information on:

First Name

Last Name

address

city

state

Coverage is for   
Texas residents only

zip

county

Tel

Fax

e-mail

Current Coverage

 

Company







I want coverage for...
UniCare Life & Health Insurance
      Company 

Blue Cross Blue Shield of Texas
No Preference -send least 
    expensive according to selection 
    below 


Part A deductible
Part B deductible
Excess Charges
Prescription Costs
Interested
in:
A plan
C plan
F plan
I plan
J plan
Senior Prime Choice (new plan)
 
Dental HMO DentalDental Only
Base my request on:                        My question is:
Applicant's Age

Spouse's Age
How did you hear about us...
we appreciate your feedback

 Please wait a few seconds...Thank you.                                   

www.texasplans.com is a service provided by Stateside Insurance Services, LLC.,
an independent insurance agency serving Texas Health Insurance needs.

TexasPlans.com provides rates, applications, and information to better help Texas understand their options.  Stateside Insurance Services, LLC, the registered owner of the web site, does not recommend, endorse or provide advice on which insurer to select or which products to buy.
Do not cancel any existing health insurance until you receive written confirmation from the insurance company to which you are applying.
Blue Cross Blue Shield of Texas Blue Cross Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross Blue Shield Association
UniCare Life & Health Insurance Company  UniCare Life & Health Insurance Company, a separately capitalized and incorporated subsidiary of Wellpoint, Inc.
Humana Insurance Company  Humana Insurance Company 
Golden Rule Insurance Company Golden Rule Insurance Company