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Medicare Advantage Home Visit Request

Meet with one of our experienced health care consultants in your home. They can help you learn more about our health plans and simplify your selection process, no matter what health insurance plan you choose.
Submit Your Request Online: Please provide the information below and a representative will contact you within 24 hours to confirm and review the scope of appointment with you.
Or Call Us: Register by phone or ask questions by calling 1-800-248-9296 (TTY 1-877-286-5710 for hearing impaired).  We are available:
  October 1 - February 14   8 a.m. to 8 p.m., 7 days a week
  February 15 - September 30   8 a.m. to 8 p.m., Monday - Friday

During non-business hours, your call will be answered by our automated phone system.  A Customer Service Representative will return your call on the next business day.

A sales person will be present at each home visit with information and applications. 

By replying to this online request, a sales person may call you.

Provided by
BlueCross BlueShield of Western New York

Your Information   * Required

First Name *
Last Name *
Zip Code *
Home Phone *
Email (for confirmation & notifications)
May we follow up with you by phone? *
May we contact you by email? *
Yes to send me a website address I requested
Yes to answer my questions
County of residence?
How did you hear about us?
If DM-Direct Mail, what was the code on the mailer?
I am interested in getting a home visit because I am:
Current health insurance company?
When you choose a healthcare plan, what affects your decision the most?

 I authorize you to contact me either by phone or e-mail if this request is missing any information.

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