• If yes, please enter the date the coverage ends.
• If the applicant is still covered under this plan and intends to replace it with this policy.
• If this is the first time the applicant has had coverage with this type of Medicare plan.
• If the applicant dropped a Medicare Supplement Policy to enroll in the Medicare plan.

Here you will indicate to the best of your knowledge:

• If the applicant has another Medicare supplement policy.
• Indicate the company.
• Then, indicate if the applicant intends on replacing his or her current Medicare supplement policy with this policy. If not, you will not be able to process the application. The applicant can not have two Medigap policies in force at the same time.

Please indicate if the BlueCross policy will be replacing group coverage.

• If no, move on to the next question.
• If yes, you will need to indicate with which company, type of policy and date the group coverage will end.

The system will show you a notice regarding replacement of Medicare supplement coverage. You must acknowledge that the applicant has read this statement before you can continue.

Please call the customer service line at if you have further questions.