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Change Your Plan Forms

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Medicare Help Center | Forms | Change Your Plan

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.