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Prescription Required

BlueStar is available by prescription only. We will work with your provider to obtain a prescription for you to use BlueStar. Please complete the information in the following screens to get started!

  • A Little More About Yourself
  • Your Provider's Information
  • Your Insurance Information

Thank You

We have all the information needed to request your BlueStar prescription. We will contact you when your account is activated!

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Register for your BlueStar account

    :

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    First Name

    Last Name

    Date of Birth

    Gender

    Consent to text messages or remove mobile number

    Are you pregnant?

    Do you use Insulin Pump?

    GINA Authorization

    GINA Authorization

    Select your pump:



    Due Date

    Height

    ft
    in

    cm

    Pre-pregnancy weight

    Enter the weight you were before this pregnancy began

    Member ID

    Email:

    Choose Password:

    Confirm Password:

    What type of diabetes do you have?

    Your experience will be modified based on your type of diabetes. If you are not sure what type of diabetes you have, please check with your health care provider.

    Type 1 diabetes

    Less than 10% of all people with diabetes have type 1 diabetes. For people with type 1 diabetes, insulin is usually the only therapy. Some people with type 2 may also take insulin.

    Type 2 diabetes

    Over 90% of all people with diabetes have type 2 diabetes. Their therapy may include lifestyle changes, pills, non-insulin injectable medication, and insulin.

    Gestational diabetes

    This form of diabetes develops during pregnancy in women who did not have diabetes before the pregnancy.

    Do you take medication for diabetes?

    How did you hear about us? (Optional)

    Address Line 1

    Address Line 2

    (Optional)

    City

    ZipCode

    State

    Enter captcha

    Please search for your diabetes care provider by entering their first and last name and also selecting the state.

    Provider's First Name

    Provider's Last Name

    Provider's State

    Please select your diabetes care provider:

    • Provider name Practice address Phone Fax

    If you don’t see your diabetes care provider in the above list, enter below:

    There are no provider details for the selected state. So please enter below details.

    Provider's First Name

    Provider's Last Name

    Provider's Office Phone

    BlueStar is covered by most insurance plans. To understand your coverage for BlueStar, we need your insurance information.

    Enter your primary medical insurance information or attach a photo of your insurance card.

    This is the insurance card that you use at your doctor’s office.

    If you have any question, please contact our customer support at on

    Relationship

    Insurance Company Name

    Member ID

    Group Number

    Subscriber’s Name (if not self)

    Name

    Date of Birth

    (OR)

    Attach insurance card photos (optional)

    Enter your secondary medical insurance information or attach a photo of your insurance card, if you have a second medical plan.

    Do you have other insurance cards that you use for health insurance?If not, click "Next" button.

    If you have any question, please contact our customer support at on

    Relationship

    Insurance Company Name

    Member ID

    Group Number

    Subscriber’s Name (if not self)

    Name

    Date of Birth

    (OR)

    Attach insurance card photos (optional)

    Enter your Rx Card information and if you have a photo of your Rx Card card, you can attach below.

    Do you use a separate prescription benefit card for the pharmacy? If yes, enter your prescription insurance card information or attach a photo of your prescription insurance card. This is the insurance card you use at the pharmacy for your prescription medications. If not, click "Next" button

    If you have any question, please contact our customer support at on

    Rx Drug Card Name

    Member ID

    RxPCN

    RxBIN

    RxGRP

    (OR)

    Attach Rx drug card photos (optional)

    We will let you know when your provider has submitted your prescription for BlueStar. How would you like us to contact you?

    If you have any question, please contact our customer support at on

    Choose how to be notified :