Apply Personal Choice® PPO (Guaranteed Enrollment)

You must be a resident of Bucks, Chester, Delaware, Montgomery, or Philadelphia County in Pennsylvania to apply for Personal Choice PPO individual coverage.

PDF icon Download a Personal Choice Individual Coverage application.

PDF icon Download important information about individual health plans.

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