How to Enroll

For more information on Blue Medicare HMO coverage, the following documents are available for your reference:

Introduction Letter
Plan Rating Information
Product Brochure - Includes Summary of Benefits, enrollment instructions, grievances and appeals procedures, plan non-renewal notice, and Low Income Assistance information.

Electronic enrollment

Our online enrollment tool makes entering and submitting your information directly to us quick, safe and easy. There's virtually no paperwork involved! Click here to enroll today.

Paper enrollment

If you prefer to enroll by paper, download the enrollment form, print it out, fill it in and either fax the form or mail it to us.

Fax:
1-336-659-2957

Mail:
Blue Medicare HMO Enrollment
P.O. Box 17168
Winston-Salem, NC 27116

If you prefer to request an enrollment form over the phone, or you have questions about enrollment regulations, give us a call at 1-800-665-8037, seven days a week, 8 a.m. – 8 p.m., or 1-888-451-9957 (TTY/TDD).

We will mail you an enrollment kit that includes an enrollment form, Summary of Benefits and additional information about our plans.

Blue Medicare HMO and Blue Medicare PPO plans are offered by PARTNERS National Health Plans of North Carolina, Inc. (PARTNERS), a subsidiary of Blue Cross and Blue Shield of North Carolina (BCBSNC). PARTNERS is a Medicare Advantage organization with a Medicare contract to provide HMO and PPO plans. Plans are administered by BCBSNC. BCBSNC and PARTNERS do not discriminate based on color, gender, religion, national origin, age, race, disability, handicap, sexual orientation, genetic information, source of payment or health status as defined by the Centers for Medicare & Medicaid Services (CMS). All qualified Medicare beneficiaries may apply. You must be entitled to Medicare Part A and enrolled in Medicare Part B and must reside in the CMS-approved service area. You must continue to pay your Medicare Part B premium, if not otherwise paid for under Medicaid or another third party. BCBSNC and PARTNERS are independent licensees of the Blue Cross and Blue Shield Association.

The information on this page is current as of 10/01/2009.