Enroll in a Plan Today!

Enrolling is easy! Choose a method below to begin the enrollment process.

Option 1: Enroll by Mail

Download and print the enrollment form found below.

BlueCross65 Application

After you complete the form, review it for accuracy and sign it. Keep a copy for your records, and then mail it to us at:

BlueCross BlueShield of Tennessee
Medicare Enrollment
1 Cameron Hill Circle
Chattanooga, TN 37402

Option 2: Enroll by Fax:

Download and print the enrollment form found below.

BlueCross65 Application

After you complete the form, review it for accuracy and sign it. Then fax the form to us at (423) 591-9117.