Change Your Plan Forms
Who is this for?
If you want to change your plan or add dental and vision coverage to your BCN Advantage℠ plan, these forms will help.
Choosing health coverage is a lot more serious than choosing something like a coat. But that doesn't mean you can't change it if it doesn't fit.
There are some rules for changing your Medicare health coverage. It's a little different for each kind of plan. So make sure to read everything carefully before filling out a form.
Note: If you're a Medicare Plus Blue℠ PPO member and you want to change your plan, please call the Customer Service number on the back of your Blues ID card and we'll help.