Blue cross blue shield member enrollment application group size 2 99 form 2025

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Your member number, also known as your identification number, is listed directly below your name. Youll need this information when receiving medical services at the doctor or pharmacy, or when calling customer service for assistance. If your group number is available, youll find it directly below your member number.
Affordable Care Acts open enrollment begins on November 1 and runs until January 15, 2025*. During this time, you can enroll in or change plans for the upcoming year. Blue Cross and Blue Shield (BCBS) companies offer many different coverage options designed to best fit your needs.
Who issues you the 1095 form depends on whether you purchased your Independence Blue Cross (Independence) coverage individually or through your employer: 1095-A: Issued by the federal government to people who purchased an individual health plan on-exchange through the Health Insurance Marketplace at healthcare.gov.
How to find your 1095-A online Log into your Marketplace account. Under Your applications, select your 2024 application not your 2025 application. Select Tax Forms. Download all 1095-As.
You can also request a copy by: Emailing 1095Breprint@floridablue.com. Sending your request in writing to Customer Service at 4800 Deerwood Campus Parkway, Jacksonville, FL 32246. Calling us at 800-352-2583.
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To download a copy of Form 1095-B or to order a copy to be mailed to your home address: Click here to log in to your member account. Click the down arrow next to your plan name in the upper right corner. Then click Tax Documents.
Blue Advantage is a PPO with a Medicare contract. Enrollment in Blue Advantage (PPO) depends on contract renewal. Blue Advantage (PPO) is provided by Blue Cross and Blue Shield of Alabama, an independent licensee of the Blue Cross and Blue Shield Association.
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.

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