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Commonly Asked Questions about Blue cross blue shield Application Forms

To request a health plan appeal you can: Fill out a Health Plan Appeal Request Form. Mail or fax it to us using the address or fax number listed at the top of the form. Call the BCBSTX Customer Advocate Department toll-free at 1-888-657-6061 (TTY: 711), Monday through Friday, 8 a.m. to 5 p.m., Central Time.
Health insurance companies may allow someone to add a girlfriend or boyfriend to a policy, but only if that person is a domestic partner. A domestic partnership represents a major transitional phase in a relationship. Youre living with that person instead of only seeing each other on dates.
Claim forms are available by logging into the member website at blueshieldca.com or by contacting the benefit administrator. Please submit your claim form and medical records within one year of the service date.
Adding dependents Dependents can be added during Open Enrollment, or during a special enrollment period due to a qualifying event. In most circumstances, you cannot use the Quote and Apply tool to properly enroll new dependents on an existing plan/policy.
Plan changes or adding/deleting eligible dependents may only occur during the annual open enrollment period OR after submitting supporting documentation of a qualifying life event*. All plan changes require supporting documents and a completed Benefit Enrollment/Change Worksheet.
(You can fill the form in electronically or complete it by hand.) You can fax the form, along with proof that you paid a Medicare Part B premium, to 877-353-9236. You can upload the form through the EZ Receipts mobile app, available at the App Store and Google Play. You can upload the form through the online portal.
The insurance company typically requires you to complete an enrollment or change form. If youre adding a spouse, you may also need to provide a copy of your original marriage certificate, your spouses Social Security card, and their birth certificate or drivers license.