Blue Cross MedicareRxSM 2014 Online Enrollment
Enroll Online
Call 1-866-904-4674
This information is available for free in other languages. Please call our Customer Service number at 1-866-904-4674 (TTY/TDD users should call 711). We are open 8 a.m. to 8 p.m., local time, 7 days a week. If you are calling from February 15 through September 30, alternate technologies (for example, voicemail) will be used on the weekends and holidays.

Esta información está disponible en otros idiomas de forma gratuita. Comuníquese a nuestro número de Servicio al cliente al 1-866-904-4674 (los usuarios de TTY/TDD deben llamar al 711). Nuestro horario es de 8 a.m. a 8 p.m., hora local, los 7 días de la semana. Si usted llama del 15 de febrero al 30 de septiembre, durante los fines de semana y feriados, se usarán tecnologías alternas (por ejemplo, correo de voz).
Contact us at:
P.O. Box 3897
Scranton, PA 18505-9947

Our secure online enrollment has simple, step-by-step instructions that make your Blue Cross MedicareRx enrollment easy.
Before you begin, have the following:

  1. Your red, white and blue Medicare card
  2. Information about other prescription drug coverage (i.e., employer benefits) you may have.
  3. Your Blue Cross MedicareRx plan selection (Value or Plus). If you haven't selected a plan yet, click here to use our Plan Selector Tool or refer to Related Links section to the right.
  4. If you choose to pay your premiums via auto withdrawal, your bank account information.
Before You Enroll, Note This Information About Other Coverage

If you are a member of a Medicare Advantage Plan (like an HMO or PPO), you may already have prescription drug coverage from your Medicare Advantage Plan that will meet your needs. By enrolling in Blue Cross MedicareRx, your membership in your Medicare Advantage Plan may end. This will affect your doctor and hospital coverage and your prescription drug coverage. Be sure to read the information that your Medicare Advantage plan sends you and if you have any questions, contact your Medicare Advantage plan.

If you currently have health coverage from an employer or union, enrolling in Blue Cross MedicareRx could affect your health benefits. You could lose your employer or union health coverage if you join Blue Cross MedicareRx. Be sure to read the information from your employer or union. If you have any questions, contact your benefits administrator or the office that answers questions about your coverage.

Prescription drug plan provided by Blue Cross and Blue Shield of New Mexico which refers to HCSC Insurance Services Company (HISC), an independent licensee of the Blue Cross and Blue Shield Association. A Medicare-approved Part D sponsor. Enrollment in HISC's plan depends on contract renewal.

Last Updated 10142013
Y0096_WEB_NM_OEFPDPC Approved 11192013