Applying for a BlueCross BlueShield of Tennessee individual health policy is easy. All you do is:

• Review the PremierBlue [0.6MB] options available to you.
• Choose the plan that's right for you.
• Complete the PremierBlue Application. [0.05MB]
• Mail your completed application and questionnaire to the address listed below. Include a check for your first month's premium.
  
  BlueCross BlueShield of Tennessee
  Attention: Individual Sales - 3G2
  Dept. W
  801 Pine Street
  Chattanooga, TN 37402-2555

Your acceptance will be based on the information you provide. You must meet height/weight guidelines and minimum health requirements before your application can be accepted. Once accepted for coverage, your premiums cannot be increased due to changes in your health or the number of claims you file. Your rate is guaranteed for the first year of your coverage. See our payment options.

 The documents below are in PDF format. You must have Adobe Acrobat Reader to view them

• PremierBlue Brochure
  Get the complete picture on Personal Health Coverage offered by BlueCross BlueShield of Tennessee.
• PremierBlue Application
  Use this form to apply for BlueCross BlueShield of Tennessee's Personal Health Coverage.
• PremierBlue Rate Sheet - Network P
• PremierBlue Rate Sheet - Network S
• Waiver of HIPAA Rights Form
  Notice of Rights under the Health Insurance Portability and Accountability Act of 1996 (HIPAA)
• How HIPAA Affects Individual Coverage 
• Notice of Privacy Practices