Who is Eligible?

You must be entitled to Medicare benefits under Part A and enrolled in Part B, and reside in the Plan Service Area - View Counties

When Can You Enroll?

View our Medicare Enrollment TimelineOpen a PDF

What to Expect

After we receive your application, you will receive a confirmation of enrollment in the mail within 7 to 14 business days. This letter will contain your subscriber ID.

 

 Online

 

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Medicare beneficiaries may also enroll in Excellus BlueCross BlueShield through the Centers for Medicare & Medicaid Services (CMS) Online Enrollment Center located at www.medicare.gov .

 

 Phone

Speak with one of our dedicated Medicare Consultants.
Call: 1-844-596-0345
TTY: 711

Monday - Friday: 8 a.m. to 8 p.m.
Saturday - Sunday: 8 a.m. to 8 p.m. Oct. 1 - March 31
Closed: Thanksgiving, Christmas Eve & Day, New Year's Eve & Day

Mail

Select your County to View Medicare Plan Applications

Step 1. Download your Plan Application
 

Plan Application for:

*** Please select a county to see available plan applications ***

2024 Medicare BlueActive PPO, Medicare BlueClassic PPO, Medicare BlueEnhanced PPO, Medicare BlueEssential PPO, Medicare BlueFlex PPO, Medicare BlueSalute PPOOpen a PDF

2023 Medicare BlueActive PPO, Medicare BlueClassic PPO, Medicare BlueEnhanced PPO, Medicare BlueEssential PPO, Medicare BlueFlex PPO, Medicare BlueSalute PPOOpen a PDF

2024 Medicare BlueActive PPO, Medicare BlueClassic PPO, Medicare BlueEnhanced PPO, Medicare BlueEssential PPO, Medicare BlueFlex PPO, Medicare BlueSalute PPOOpen a PDF

2023 Medicare BlueActive PPO, Medicare BlueClassic PPO, Medicare BlueEnhanced PPO, Medicare BlueEssential PPO, Medicare BlueFlex PPO, Medicare BlueSalute PPO, Medicare Bassett HMO-POSOpen a PDF

2024 Medicare BluePlus PPO, Medicare BlueSalute PPOOpen a PDF

2023 Medicare BluePlus PPO, Medicare BlueSalute PPOOpen a PDF

2024 Medicare BluePlus PPO, Medicare BlueSalute PPOOpen a PDF

2023 Medicare Bassett HMO-POS, Medicare BluePlus PPO, Medicare BlueSalute PPOOpen a PDF

2024 Medicare Blue Choice Access PPO, Medicare Blue Choice Advanced HMO-POS, Medicare Blue Choice Extra HMO, Medicare Blue Choice Freedom HMO-POS, Medicare Blue Choice Optimum HMO-POS, Medicare Blue Choice Select HMO, Medicare Blue Choice Value Plus HMO-POSOpen a PDF

2023 Medicare Blue Choice Access PPO, Medicare Blue Choice Advanced HMO-POS, Medicare Blue Choice Extra HMO, Medicare Blue Choice Freedom HMO-POS, Medicare Blue Choice Optimum HMO-POS, Medicare Blue Choice Select HMO, Medicare Blue Choice Value Plus HMO-POSOpen a PDF

Step 2. Mail Application to:
(save a copy for your records)
Excellus BlueCross BlueShield
Attn: Enrollment Operations
PO Box 31790
Rochester, NY 14603-1790

 

Additional Resources:

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Modal for Our Medicare Plan Service Area:

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Excellus BlueCross BlueShield is an HMO plan and PPO plan with a Medicare contract. Enrollment in Excellus BlueCross BlueShield depends on contract renewal. Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare Ombudsman. Y0028_9775_C.

This page last updated 10-01-2023.

 

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