| BlueChoice (HMO) |
| BlueChoice Opt-Out Open Access |
| BlueChoice Opt-Out Plus |
| BluePreferred |
| Catastrophic Health and Related Forms |
| HealthyBlue HMO |
| HealthyBlue 2.0 |
| HealthyBlue Plus |
| HealthyBlue Advantage |
| HealthyBlue PPO |
| HealthyBlue Dual/Triple Option |
| Maryland Point of Service (MPOS) |
| Personal Comp |
| Preferred Provider Organization (PPO) |
| Traditional Indemnity for NCA |
| Federal Employee Program For questions concerning your membership and benefits, or to obtain other FEP forms, contact Member Services at the telephone number on your ID card or visit www.fepblue.org. |
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.
Medical Forms
Group Medical Plans
International Claim Form
EOI Form
Plan Termination
Proof of Coverage