Get Application For Membership - Blue Cross Blue Shield Of Oklahoma

This guide provides clear, step-by-step instructions for completing the Application For Membership for Blue Cross Blue Shield Of Oklahoma online. Whether you are new to online applications or seeking health coverage, this guide aims to simplify the process.

Follow the steps to complete your application successfully.

1. Click 'Get Form' button to initiate the process and access the application form.
2. Begin by filling out your personal details in the designated fields. Include your full name, address, city, state, and ZIP code.
3. Attach a voided check from a participating Oklahoma financial institution in the area provided. Use tape to affix the check securely and avoid using glue or staples.
4. Complete the financial institution debit authorization section. Make sure to choose your preferred date for the monthly premium deduction by circling your choice.
5. Provide contact information, including a preferred telephone number and your email address. Specify the best times for them to reach you.
6. Select the total number of persons applying for coverage by checking the appropriate box. Include relevant information for each person.
7. Fill out the health and medical history questions accurately for yourself and any dependents applying for coverage. Be prepared to provide additional details where necessary.
8. Sign the application agreement section. Ensure that any co-applicants also provide their signatures before submitting the application.
9. Review your application thoroughly to ensure all fields are completed accurately. Once satisfied, save the form, and prepare it for submission.
10. Print the completed application and send it, along with the attached voided check, to the provided mailing address for Blue Cross and Blue Shield of Oklahoma.

Complete your application now to secure your health coverage online.