800-930-7956
800-930-7956
BBB Accredited Business
Years in Business: 22

Blue Shield Of CA Online Application

Step 1: Pricing Information

Blue Shield of California Online Application

Step 1: Pricing Information

Date Of Birth

Gender

Zip Code

County

State

Plan

Requested Start Date

Blue Shield of California Online Application

Loading Quote

We are currently experiencing technical difficulties and are unable to generate plan pricing at this time. Please contact 800-930-7956 and an agent will assist you.

Step 2: Contact Information

Full Name

First Name

Middle Initial

Last Name

Email Address

Phone Number

Phone Type

Step 3: Address Information

Home Street Address

Home Street Address

Apt, Suite (optional)

City

Zip Code

County

State

Mailing Street Address

Mailing Street Address

Apt, Suite (optional)

City

State

Zip Code

Step 4: Medicare Information

Medicare Number (Excluding Dashes "-")

Part A Coverage Start Date

Part B Coverage Start Date

We do not sell or rent your personal information. We will not share your personal information with unauthorized third parties. Please see our privacy policy here.

Step 5: Other Information

Preferred Language For Future Contact

Materials On-Line

Would you like to receive both required and non-required plan materials via email (i.e., enrollment notifications, Annual Notice of Change, benefit promotions, and plan newsletters) in place of mailed printed copies?

Answering no above means you will receive printed plan materials via mail. You may choose to go back to printed materials at any time by visiting blueshieldca.com/login or calling Customer Care at the number on your plan ID card.
Selected Medigap Plan
Blue Shield of California

Blue Shield of California

Select Plan

*Household and other discounts will be applied as you complete the application
*Final price to be confirmed by insurance provider

...
Need assistance?

Call us at