myBlueCross New Registration

Step 1 Enter Your Information

Step 2 Create Your Profile

Step 3 myBlueCross

For confirmation and security purposes, all fields are required.

Group Number

First Name Do not include middle names or initials

Last Name Do not include suffixes, i.e. Jr, Sr, etc.

Date of Birth

For international students and those without a Social Security Number (SSN) or Individual Taxpayer Identification Number (ITIN), please provide a Student ID Number for verification.

Do you have a Social Security Number?

Yes No

Student ID Number

SSN / ITIN

Last 4 digits only

Medicare Number

myBlueCross New Registration

Company

Support

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