Once you've selected a Blue Cross Blue Shield of Massachusetts plan that meets your health care needs, you can enroll by mail, phone, or fax—whichever is most convenient for you. You can only enroll in Medicare Part D, Medicare supplement, and Medicare Advantage plans
during certain times of the year, so be aware of these important dates.
Medicare HMO Blue and Medicare PPO Blue Medicare Advantage Plans:
Phone: 1-800-678-2265
TTY: 1-800-522-1254
Monday - Sunday | 8 a.m. - 8 p.m.
Online: Medicare Online Enrollment Center
Fax: 617-246-8506
Mail: Enrollment Department
Blue Cross Blue Shield of Massachusetts
PO Box 9202
North Quincy, MA 02171-9202
Medex Bronze and Medex Core Medicare Supplement Plans:
Phone: 1-800-678-2265
TTY: 1-800-522-1254
Monday - Sunday | 8 a.m. - 8 p.m.
Fax: 617-246-3633
Mail: Consumer Sales
Blue Cross Blue Shield of Massachusetts
One Enterprise Drive
Quincy, MA 02171-1754
Blue MedicareRx* Medicare Part D Plan:
Blue MedicareRx
Phone: 1-800-678-2265
TTY: 1-800-522-1254
Monday - Sunday | 8 a.m. - 8 p.m.
Mail: Enrollment Department
Blue Cross Blue Shield of Massachusetts
PO Box 9218
Quincy, MA 02171-9911
Forms
2010 Enrollment Applications (membership effective 1/1/2010)
- Medex Bronze and Medex Core application form and instructions
- Medicare HMO Blue PlusRx (HMO)
- Medicare PPO Blue PlusRx (PPO)
Blue MedicareRx (PDP)*
(To access this form, you will be taken to the Blue MedicareRx (PDP) website.)
* Anthem Insurance Companies, Inc., Blue Cross and Blue Shield of Massachusetts, Inc., Blue Cross & Blue Shield of Rhode Island, and Blue Cross and Blue Shield of Vermont are the legal entities which have contracted as a joint enterprise with the Centers for Medicare & Medicaid Services (CMS) and are the risk-bearing entities for Blue MedicareRx (PDP) plans. The joint enterprise is a Medicare approved Part D Sponsor.



