Documents & Forms

We've put together the most common documents and forms you might need for things like filing claims or reviewing your coverage. Start by choosing what kind of insurance you have from the list below.

  • Through Your Employer
  • Individual & Family
  • Medicare Advantage
  • Medicare Supplement
  • Medicaid with Medicare (BlueCare Plus℠)
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Through Your Employer Information icon

Claims

Use these forms if you'd like to submit a claim.

Billing

Use this form if you'd like BlueCross to accept bank draft payments.

Benefits & Coverage

These documents contain information about your benefits, network and coverage.

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Individual & Family Information icon

Claims

Use these forms if you'd like to submit a claim.

Billing

Use these forms if you'd like BlueCross to accept bank draft payments.

Enrollment

Use this resource to help you enroll in a plan.

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