Apply Special Care
If you believe you meet the Basic Eligibility Requirements, download an application or call 1-866-282-2702.
Download a Special Care application in English.
Follow these important steps:
- Complete the application.
- Print clearly and answer all questions.
- Sign the application.
Mail the completed form and all income documentation to:
Independence Blue Cross
P.O. Box 13449
Philadelphia, PA 19101-9552
Remember to sign the application; if it is not signed, the application cannot be processed. If your application is accepted, we will bill you. Send no money now.
If you need help with the application, please call 1-866-282-2702. If you are hearing impaired call TDD 215-241-2622.