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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.

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Through Your Employer Information icon

Claims

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

Benefits & Coverage

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

Pharmacies & Prescriptions

These documents offer information about your covered drug benefits.

Health Spending Accounts

These documents offer information about your health accounts and financial arrangements.

Your Rights

You'll find notices and forms in this section that will help you understand your rights and responsibilities, and make requests related to those rights.

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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.

Benefits & Coverage

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

Pharmacies & Prescriptions

These documents offer information about your covered drug benefits.

Health Spending Accounts

These documents offer information about your health accounts and financial arrangements.

Your Rights

You'll find notices and forms in this section that will help you understand your rights and responsibilities, and make requests related to those rights.

Enrollment

Use this resource to help you enroll in a plan.