Due to a planned data migration beginning Friday, July 11 at 11:00 p.m., and continuing through Monday, July 14 at 8:00 a.m., you may experience a delay in your information appearing on CareFirst portals. We expect that changes to member data will be reflected on the portals by Tuesday, July 15. Your patience is appreciated.
Change Healthcare notifying individuals of data breach. Learn more here.
BlueChoice (HMO) Forms
If you need a form that is currently not available online, please call Member Services at the telephone number on your ID card.
| Medical Claim |
| Membership Change Request
If you buy insurance through your employer, please contact your employer to make changes. Changes will not be processed unless received from your employer. |
| eBilling (Automatic Debit) |
| International Claim Form
(For care received out of network area) |
| Coordination of Benefits
(Update your information on My Account) |
| Disability Certification |
| Advanced Directive Information Sheet |
| Maryland Advance Directive |
| Continuity of Care - Members in a Maryland Based Plan (PDF) |
| Continuity of Care BC - Provider Not in Network (PDF) |