Apply Personal Choice® PPO (Guaranteed Enrollment)
Important Note: Please note that these individual plans will be discontinued December 31, 2013 because they are not compliant with the health care law. To ensure you have coverage beginning January 1, 2014, you will need to enroll in one of our new health care law compliant 2014 plans by December 23, 2013.
You must be a resident of Bucks, Chester, Delaware, Montgomery, or Philadelphia County in Pennsylvania to apply for Personal Choice PPO individual coverage.
Download a Personal Choice Individual Coverage application.
Where to send completed applications
Please mail your completed application to:
Independence Blue Cross
Attn: Direct Pay
P.O. Box 41452
Philadelphia, PA 19101-8822