From time to time, you will need to complete forms, applications and
disclosures in order to use your health care coverage plan. The following
is a list of the most common forms. Your handbook will explain when you
will need to use these.
Simply click on whichever form you need, print and complete it. Then, depending
on the instructions, either give the form to your group administrator or mail
it back to us. Don’t forget to always keep a copy for your record.
Group
Health Plan Forms
Use the following forms if you are
enrolled in the group health care coverage plans: BlueCare Traditional,
BlueCare Comprehensive, BlueCare QHDPPO, BlueCare PPO, BlueCare POS or BlueCare
HMO.
Enrollment Applications
Understanding Your Explanation of Benefits (EOB) Statement
Prescription Drug Forms
Claims/Approval Forms
Legal Forms
Vision Forms
Individual
Health Plan Forms
Use the following forms if you are
enrolled in an individual health care coverage plan that is not offered
through an employer.
Enrollment Applications
Prescription Drug Forms
Approval Forms
Legal Forms
Payment Forms
Vision Forms
|
