Enrollment Forms

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Medicare Help Center | Forms | Enrollment Forms

The easiest way to enroll in a plan is to sign up online. But if you'd rather use an enrollment form, you can find one here.

Signing up for a Medicare plan online is easy and efficient. You just have to find your plan and click the green Enroll button.

But if you'd rather fill out a paper form and send it in to us, you can find one here. Here's what you'll need to do:

  • Choose your plan type below
  • Choose the plan you want to enroll in
  • Download the form and print it out

We'll let you know if you need anything to fill out your form and make sure you have basic instructions before you start.

Looking for other plan enrollment forms? 

You'll find information on MyBlueSM Medigap here:

You'll find information on Blue Cross® Medicare Private Fee for Service plans here: