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HOW
TO APPLY
Before
applying please read the Exclusions and Limitations
information, as well as the
Enrollment Guidelines on the plan brochure you are
applying for:
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Each
brochure contains important information regarding benefits,
exclusions, limitations, renewability, and other terms
of coverage. |
Apply
Online
- the easiest way to apply for any plan with Blue
Cross Blue Shield of California
To
apply by fax or mail, just follow the instructions below:
-
Open the Blue
Cross application 
When the Adobe Acrobat reader opens with the application,
use the menu bar at the top to save the application to
a file or simply print it out right from the reader.
(You may also call us at 1-866-254-5121 or email
us and we will send you an application in the mail or
by fax.)
- Simply
follow the instructions on the application. Fax the
completed application to us at 1-866-284-0082, or
mail it to us at the address below.
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