Skip to main site navigation
Skip to main content
Open the main menu
Members
Providers
Brokers
About
Contact
Login/Pay Bill
Open the search panel
Search Site
Our Plans
Open the Our Plans menu
Find and Compare Plans
Understanding Health Insurance
Plans For
Individuals and Families
Employers and Groups
Medicare
Vision
Find a Doctor
Open the Find a Doctor menu
Find a Doctor Near You
Find a Dentist
Find an Eye Doctor
Telemedicine Care
Additional Resources
Pharmacies & Medications
Open the Pharmacies & Medications menu
Find a Pharmacy
Lists of Covered Medications
Manage Prescriptions Online
Health & Community
Open the Health & Community menu
COVID-19 Updates
Community Programs and Events
Your Health and Wellness
Our Blog
Vermont Blue65 Form
Part 1
Part 2
Part 3
Part 4
Finish
Enrollement Options
Please select from the following options.
New Application
Turning/turned 65*
Transfer from other BCBS Plan*
Other new subscriber
Desired Effective date
/
/
Desired Coverage
Plan A
Plan C
Plan D
Plan F
Plan G
PLEASE NOTE:
If you are newly Medicare eligible on or after January 1, 2020 – you are no longer eligible to enroll in Plans C or F.
Please be aware if you are a new Blue Cross Blue Shield of Vermont member, your first months premium payment is due within 10 days of the receipt of the application. You may drop off your payment at our Berlin location. You can also mail your payment directly to Blue Cross Blue Shield of Vermont, PO Box 186, Montpelier, VT 05601. Please include your confirmation number in the memo portion of the check.
Changes or Cancellation
To make changes to, or cancel your coverage, please contact one of our Medicare Specialists at 1-800-255-4550, Monday – Friday (8am-4:30pm)