Enrollment Kit

--- extra-footer: "C Plus℠ is a Medicare Select plan." ---Enrollment Kit | Blue Cross and Blue Shield of Alabama

Here’s everything you need to enroll in a quality Blue Cross plan, including plan highlights, an outline of coverage and an easy enrollment form.

Please choose your enrollment kit:

Blue Advantage Enrollment Kit

C Plus Enrollment Kit

BlueRx Enrollment Kit

First Name

M.I.

Last Name

Suffix

Email Address Providing your email allows us to contact you.

Street Address

City

State

ZIP Code

Birth Month

Birth Year

Order Your Enrollment Kit