BlueChoice Opt-Out Open Access Claim 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 |
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 |
Request for Continuity of Care for New Members (PDF) |
Request for Continuity of Care for BC Existing Members (PDF) |