Get our Medicare Enrollment Kit | Blue Cross and Blue Shield of Alabama - Medicare
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Enrollment Kit Form Content
Here’s everything you need to enroll in a quality Blue Cross plan.
Enrollment Kit Portlet
Get Your Enrollment Kit
Here's everything you need to enroll in a Blue Cross Medicare plan.
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Medicare Beneficiary Information
Please enter the beneficiary information as it appears on the Medicare ID card.
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(Providing your email allows us to contact you.)
Enrollment Kit disclaimer
Please allow 7-10 business days for processing. Or if you would like immediate information, please call a local insurance advisor at 1-888-543-9212 (TTY 711).
Medicare Site Stock ID
Y0106_MKT5WEB
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