We Make it Easy to Enroll
When Can You Enroll? View our Medicare Enrollment TimelineOpen a PDF
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
Learn More:
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.
Speak with one of our dedicated Medicare Sales Advisors.
Call: 1-800-671-6081
TDD/TTY: 1-800-662-1220
Monday - Friday:
8 a.m. to 8 p.m.
From Oct. 1 - Dec. 30:
advisors are also available weekends 8 a.m. to 8 p.m.
Closed Thanksgiving Day, Christmas Eve, Christmas Day, New Year’s Eve, and New Year’s Day
2021 Medicare Plan Applications (Select Your Plan in Your County):
For Current Plan Members: Optional Supplemental Dental Application
Mail to: (save a copy for your records)
Excellus BlueCross BlueShield
Attn: Medicare Enrollment Processing
PO Box 211316
Eagan, MN 55121-9931
Additional Resources:
Modal for Select a Dental Application for your County
Select a Dental Application for your County
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Dental Application 2021Open a PDF for these counties: Broome, Cauyga, Chemung, Chenango, Cortland, Herkimer, Jefferson, Lewis, Madison, Oneida, Onondaga, Oswego, St. Lawrence, Schuyler, Steuben, Tioga, Tompkins
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Dental Application 2020Open a PDF for these counties: Broome, Cauyga, Chemung, Chenango, Cortland, Herkimer, Jefferson, Lewis, Madison, Oneida, Onondaga, Oswego, St. Lawrence, Schuyler, Steuben, Tioga, Tompkins
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Dental Application 2021Open a PDF for these counties: Clinton, Delaware, Essex, Franklin, Fulton, Hamilton, Montgomery, Otsego
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Dental Application 2020Open a PDF for these counties: Clinton, Delaware, Essex, Franklin, Fulton, Hamilton, Montgomery, Otsego
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Dental Application 2021Open a PDF for these counties: Livingston, Monroe, Ontario, Seneca, Wayne, Yates
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Dental Application 2020Open a PDF for these counties: Livingston, Monroe, Ontario, Seneca, Wayne, Yates
Modal for Our Medicare Plan Service Area:
Our Medicare Plan Service Area:
- Central New York (CNY) Region: Broome, Cayuga, Chemung, Chenango, Cortland, Herkimer, Jefferson, Lewis, Madison, Oneida, Onondaga, Oswego, Schuyler, St. Lawrence, Steuben, Tioga and Tompkins counties.
- East Region: Clinton, Delaware, Essex, Franklin, Fulton, Hamilton, Montgomery and Otsego counties.
- Rochester Region: Livingston, Monroe, Ontario, Seneca, Wayne and Yates counties.
Want to Meet?
Find your local Medicare Sales Advisor.
Need Help?
Speak with one of our dedicated Medicare Sales Advisors.
Call: 1-800-671-6081
TDD/TTY: 1-800-662-1220
Monday - Friday:
8 a.m. to 8 p.m.
From Oct. 1 - Dec. 30:
advisors are also available weekends 8 a.m. to 8 p.m.
Closed Thanksgiving Day, Christmas Eve, Christmas Day, New Year’s Eve, and New Year’s Day
Need information in a different format?
Call Customer Service toll-free at 1-877-883-9577 (TTY/TDD 1-800-662-1220) 8 a.m. to 8 p.m. Monday - Friday. From Oct. 1 to Dec. 31, representatives also are available weekends from 8 a.m. to 8 p.m.
Stay Connected
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_7465_C.
This page last updated 10-01-2020.
