Applying for a SimplyBlue policy is easy. All you do is:

• Choose the plan that's right for you.
  • SimplyBlue Plan Options and Benefits or
  • SimplyBluePlus Plan Options and Additional Benefits
• Complete the SimplyBlue application.  [ .05 MB ]
• Indicate the three-digit code of the plan you wish to purchase.
• Calculate your monthly premium for SimplyBlue.  [ 0.1 MB ]
• 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
  1 Cameron Hill Circle
  Chattanooga, TN 37402
  

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.

SimplyBlue Brochure  [ .5 MB ]
Get the complete picture on SimplyBlue and SimplyBluePlus offered by BlueCross BlueShield of Tennessee.

HIPAA Rights Notice  [ .05 MB ]
Notice of Rights under the Health Insurance Portability and Accountability Act of 1996 (HIPAA)

SimplyBlue Application  [ .05 MB ]
Use this form to apply for BlueCross BlueShield of Tennessee's SimplyBlue plan.