2020 BCBSAZ Medicare Plans

By completing the online enrollment form, you are sending an actual enrollment request to BCBSAZ.

A few quick tips before enrolling...

  • Please read this important information.
  • Make sure you meet the eligibility requirements.
  • Please review the Summary of Benefits and including the Multi-language insert
  • You must complete each section before moving to the next one.
  • Your enrollment will not be saved until you click the Enroll Now button at the end of the application.
  • If you have problems enrolling online you can also:
    • Print and mail in the paper enrollment form. If you need help with the form, contact us or download these instructions.
    • Enroll by phone by calling 1-800-708-5315. TTY hearing impaired users call 711
    • Contact your local sales representative for assistance.
  • If anyone helps you fill out your application, that individual must electronically sign the enrollment form and indicate his or her relationship to you.
  • No premium payment is required at the time you join. If you complete a paper application, make a copy of your signed application for your records and the Comprehensive Formulary which tells you about the plan's covered medications.

After you’ve enrolled

BCBSAZ will send you a member ID card and a Welcome Kit with the plan’s Evidence of Coverage that provides a full description of plan benefits.

Note: Do not disenroll from any Medicare Supplement plan, Medigap, or Medicare Select plan until you receive confirmation of approval of your enrollment from BCBSAZ.