AZBlue - MyBlue Member Registration

MyBlue Member Registration

[*] Indicates a required field

Member Enrollee Registration

Registrant's Personal Information Please enter the following information. Your Member ID can be found on your BCBSAZ ID card. Important: Do not enter the first three characters of your member ID. Type only the numbers shown on the image below.

*Member ID
*Date Of Birth

Member ID is 12 characters

*First Name
*Last Name

*Email Address

Enter a valid email address *Confirm Email Address
Security Check

BotDetect CAPTCHA ASP.NET Form Validation
Thank you! You can access your online profile by registering with your administrator, AmeriBen, at www.myameriben.com or contact AmeriBen using the dedicated phone number listed on your ID card.