Enrollment for Medicare Advantage plans, such as our BlueCHiP for Medicare plans, will be open from October 15 to December 7 only, unless you have a valid election period.
If you are already enrolled in a BlueCHiP for Medicare plan and want to make a plan change due to a valid election period, scroll down to the last option.
ARE YOU NEW TO BLUECHIP FOR MEDICARE?
Enroll now Instant application for 2014 BlueCHiP for Medicare plans
Apply over the phone with a live representative using telephonic enrollment
Our hours are: October 1 - February 14, seven days a week, 8:00 a.m. to 8:00 p.m.
February 15 - September 30, Monday to Friday 8:00 a.m. - 8:00 p.m.
An automated answering machine is available outside these hours.
Apply by U.S. mail or fax
- Click on the BlueCHiP for Medicare Application form.
2014 BlueCHiP for Medicare Application
- Save it to your computer by clicking File and then Save on your internet browser.
- Type your information directly onto the form. Save again when you're done entering your information.
- Print the form, then mail or fax it using the instruction sheet below.
Where to send forms
Apply in person at our Providence walk-in area at 500 Exchange St.
Apply at Medicare.gov - Medicare beneficiaries may also enroll in BlueCHiP for Medicare through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.