Anthem Blue Cross and Blue Shield
Individual Health Insurance 

Apply in minutes! 
Please select an option below:

1. Apply over the phone!
Call our agency today at (636) 229-LANG and you can submit your health insurance application over the phone with one of our Licensed Benefit Consultants. 
Let us do the work for you!

2. Apply Online!
To apply online, simply click the link below:
Apply Online Now!


3. Download and print an Application!
Please choose the appropriate health insurance application needed below:

A. Missouri Individual Enrollment Application
(Use this application for all Blue Access/Blue Access Choice PPO plans, Lumenos HSA/HIA/HIA Plus plans, and the Blue Preferred HMO plan.)

B. Blue Short Term Medical Application
(Use this application to apply for a short term plan designed to provide temporary protection between health insurance coverage gaps for 30 to 180 days at a time.)

C. Dental Application
(If you are applying for health coverage, do not use this form.  Instead, you should apply for both health and dental coverage using the Missouri Individual Enrollment Application.  Use this application to apply for dental coverage only, or to make a change to your existing dental coverage.)
 

 
In Missouri (excluding 30 counties in the Kansas City area): Anthem Blue Cross and Blue Shield is the trade name for RightCHOICE Managed Care, Inc. (RIT), Healthy Alliance Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. Independent licensees of the Blue Cross and Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the blue Cross and Blue Shield Association.