Please
note that all applications will be submitted in the name
of Wiley Long, the president of HSA
for America. If you have already
been working directly with one of our advisors, then that
person will be noted in our system as your personal contact.
Before
applying, please read the Exclusions and Limitations
information, as well as the Enrollment Guidelines
on the brochure:

Internet Explorer required
The
fastest and easiest way to apply for any plan with Blue
Cross Blue Shield of Tennessee is to Apply
Online, using the link above. Gather the following
information before you start the application in order to
speed the process:
-
Your doctors names, addresses, and phone numbers
-
Medications you currently take or recently took, including
dosage and frequency
- Dates
of hospitalization
-
The name of the plan for which you are applying
-
Your requested effective date
-
Your credit card information to cover the initial premium
For
security, Blue Cross Blue Shield uses 128-bit Secure Socket
Layer (SSL) encryption, the highest encryption available
to most browsers, with a public key length of 1,024 bits.
To
Apply by Mail:
- Select
the deductible option that's right for you. The
same deductible option must apply to all family members.
The plan description and rate tables can help with your
decision.
- Use
our instant
quote system to get the total initial premium
payment due.
- Download
and complete the BCBS
of TN application.
You may also fill out our Application
Request Form and we will send you an application
right away.
- Include
your first month's premium payment.
- Mail
your completed application to us at the address below.
Your acceptance
will be based on the information you provide. Applicants
must meet height and weight guidelines and minimum health
requirements before the application can be accepted.
If accepted for coverage, your premium rate will be determined
based on the health status of all applicants. Various
levels of rate classifications are offered. Once
accepted for coverage, your premiums cannot be increased due
to changes in your health or the number of claims you file.
Once your
application has been approved, you will receive an authorization
form to use if you wish to set up an automatic payment through
a bank or credit card draft.
Please
fill out the application Completely. Any
unanswered questions will delay the processing. If you
have any questions about filling out the application, email
us at info@HSAforAmerica.com,
leave your name and phone number, and someone from our office
will call you back and answer any application questions you
have.
Note:
All policies come with a money-back guarantee.
After receiving your policy, you have 10 days to review it.
If for any reason you decide not to keep the policy, you will
receive a full refund of your initial premium. Remember
that you also have access to the guaranteed lowest
life insurance rates available, with easy online quotes
and applications.
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