Looking for a Health Insurance Form?

One of the benefits of using Blue Access for Members^SM is the ease of being able to locate health insurance forms when you need them.

Forms and Documents quickly puts forms at your fingertips. Whether you need to file a claim or order a refill prescription, these forms are securely stored and accessible through Blue Access for Members.

The health insurance forms you can access will be determined by the health care plan you are enrolled in. Here are just a few that you may be looking for:

Medical and dental claim forms
All HIPAA privacy forms, including the Confidential Communications Request, Access Request Form and Standard Authorization Form.
Order forms for both new and refill prescriptions
Continuation of Coverage

To get started, here are a few helpful tips:

When searching, start with All Forms and Documents.
Use the carrot next to the form title and a description will appear below.
Click on “View” to open the form in a new window and download if needed.

You can use the search box to find a form.

To get started, log in to Blue Access for Members.

*Available to members with dental coverage.

Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation,
a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

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