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We’ve reached a new agreement, and CHI Memorial will stay in our networks. Learn More
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We’re on a mission for better health

That’s why we care for both your physical and mental health. It's our commitment to be right here for you.

SEE HOW

Log in or register an account

See what
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If you're a member you can find a form
find a form
request a 1095-B form
pay providers
get a replacement ID card

SEARCH FORMS

Take a look at some documents and forms that might be helpful to you.

REQUEST FORM

  • This form provides information about your health coverage.
  • Available to Off-Marketplace members and some members with employer-sponsored group coverage. Log in to see if this form applies to you.
  • If you had 2020 coverage through the Health Insurance Marketplace, Medicare Advantage, BlueCare or CoverKids Medicaid or CHIP, those organizations will provide your form.

Sign in to your account

  • Free online bill pay for members with individual and employer plans
  • Manage and easily monitor your medical expenses
  • Make quick and completely secure payments with your bank account, debit card or credit card

LOG IN TO YOUR ACCOUNT

You can view your Member ID card by logging into your account.

Register for a BCBST.com account