How to enroll

1. Important information when enrolling
   For more information on Medicare Advantage coverage, download and print the following documents for future reference.
   • Blue Medicare PPO Enrollment Form 
   • Blue Medicare PPO – 2008 Summary of Benefits 
   • Blue Medicare Product Brochure and Rx Guide 
   • Cover Letter 
2. Search for your drugs
   Enrolling in a plan that includes Medicare prescription drug coverage? You can do a search on your prescription drugs to make sure they are covered.
   • Find a drug
3. Search for a pharmacy
   If you are enrolling in a plan that includes Medicare prescription drug coverage, you can search for a network pharmacy near you.
   • Find a pharmacy
4. Select a primary care provider
   Search our online provider directory below to locate a primary care provider (PCP). Once you select a doctor, write down their PCP code (it appears before their name in the directory). You will need this information to complete your enrollment form.
5. Complete the enrollment form online
   Use our online enrollment tool  – it’s easy, quick and virtually paperless!
   
   Or, you can also download the enrollment form,  print it out, fill it in and fax or mail the form to us.
   • Fax: 1 (336) 659-2957
   • Mail: Blue Medicare PPO Enrollment
     
     PO Box 17168
     Winston-Salem, NC 27116

If you prefer to request an enrollment form over the phone, give us a call at:

1 (800) 665-8037
Seven days a week, 8 a.m. – 8 p.m.
1 (888) 451-9957 (TTY/TDD)

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

6. Make payment for your first month’s premium
   There are several payment methods we accept:
   • Your monthly premiums may be automatically drafted from your bank account. To register for bank draft, download and complete the Authorization Agreement for Automatic Bank Draft Payments form.  Include this form and a voided check from the bank account that will be drafted with your enrollment materials.
   • Your payments may also be deducted from your Social Security check. Please check the appropriate box on the enrollment form if you prefer this payment method. If you choose this payment method, you do not need to include a check for your first month’s premium with your enrollment form.
   • Attach a check or money order for the first month’s premium with your application if you chose to send it via postal mail.

Please note that there are limits on when and how often Medicare beneficiaries enroll in or change plans. For more information on enrollment regulations, call us at:

1 (800) 665-8037
Seven days a week, 8 a.m. – 8 p.m.
1 (888) 451-9957 (TTY/TDD)