Vision Claim Form (Medicare)

Request reimbursement for eligible eye care services you've received. For members of Medicare plans.

Member Dental Claim Form

Vision Direct Reimbursement Claim Form

Subscriber Medical Claim Form - Spanish

Formulario de solicitud de reembolso presentado por el miembro

International Claim Form

BlueCard Worldwide International Claim Form - Spanish

Reclamo Internacional

Prescription Drug Claim Form

Dental Claim Reimbursement Form (Medicare)

Blue Plus Member Appeal Rights Process

Appeals process for the following plans: Blue Advantage Families and Children, MinnesotaCare and Minnesota Senior Care Plus (MSC+)

Blue Plus Member Authorization form