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Commonly Asked Questions about Blue shield Application Forms

Sign in to your Blue Shield account to speak with a doctor or request an appointment. You may also use the Blue Shield mobile app to request a consult. If you need help creating a Teladoc account, call (800) Teladoc (835-2362). Wait times vary.
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.
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.
Visit your Marketplaces website to find out the steps you need to follow to get a copy of your 1095-A online. If you have not received your Form 1095-A or you received an incorrect 1095-A, you should contact the Marketplace from which you received coverage.
You can obtain an electronic copy of your Form 1095-A by logging into your Covered California account after January 2019. Covered California will also mail the forms out in January 2019.
Heres how you can request your Form 1095-B, Health Coverage, as needed. You can send a request: By mail to Blue Cross and Blue Shield Service Benefit Plan, 750 9th Street NW, Washington, DC 20001-4524.
If you purchased your plan from Blue Shield of California, your 1095-B tax form will be available in your online account in early February. We will mail it to you, as well.
Call the number on the back of your BCBSIL member ID card to ask for your Form 1095-B to be mailed to your address on file within 30 days. If you cant find this number, you can also call 1-855-710-6984. Once this form is received, your Form 1095-B will be mailed to your address on file within 30 days.