How to Enroll

 

Important considerations:

  • If you are enrolled in a Medicare Advantage HMO, PPO, or POS Plan, or a Medicare Advantage Prescription Drug Plan, and then enroll in an independent Medicare-approved prescription drug plan, you will be disenrolled from your Medicare Advantage Plan. You may only be enrolled in one Medicare prescription drug plan at a time.
  • If you are enrolled in a Medicare Advantage (MA) Plan, you may not enroll in any Medicare-approved prescription drug plan unless you have one of the following:
    • A Private Fee-for-Service (PFFS) MA Plan that does not provide Medicare prescription drug coverage
    • A Medical Savings Account (MA)
    • An 1876 Cost Plan

 

Enrolling in BlueRx is easy!

Simply select one of the enrollment options below to get started. You may also view an enrollment packet or request an enrollment kit.

 

Option 1: Internet

Medicare beneficiaries may enroll in BlueRx by completing the online application. Enroll online now.

Medicare beneficiaries may also enroll in BlueRx through the Centers of Medicare and Medicaid Services Enrollment Center, located at medicare.gov.

 

Option 2: Phone

Call one of our representatives to enroll by phone or to request an enrollment kit at 1-855-617-6761 (TTY 711), 8 a.m. to 8 p.m., 7 days a week.

 

Option 3: Mail

You may print an application. Review the plan options carefully and choose the plan that best meets your needs. Once you complete the form, review it for accuracy, sign and date the form and enclose the first month's premium.

Mail to:
UTIC Insurance Company
BlueRx
P.O. Box 2768
Birmingham, AL 35202-2768

 

Payment Options

Select one of the following options for payments.

Note:Generally, your payment option will remain the same for the rest of the year.

  • Electronic Funds Transfer (EFT) - Complete the Electronic Funds Transfer area of your paper enrollment application and enclose a voided check with your application.
  • Get a Monthly Statement- You will receive a billing statement each month for your plan premium.
  • Social Security Administration Check or Railroad Retirement Board Check - Automatic deduction from your monthly Social Security/Railroad Retirement Board benefit check. (The Social Security/Railroad Retirement Board deduction may take two or more months to begin. In most cases, if Social Security/the Railroad Retirement Board accepts your request for automatic deduction, the first deduction from your Social Security/Railroad Retirement Board benefit check will include all premiums due from your enrollment effective date up to the point withholding begins. If Social Security/the Railroad Retirement Board does not approve your request for automatic deduction, we will send you a paper bill for your monthly premiums.)
 

Notices