A HealthyMe
Get discounts, learn from popular health and wellness articles, and explore condition management programs.
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Tools & Resources
Tools and resources to help you make informed choices about your health and coverage options.
Health Care Cost & Quality Tools
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News & Updates
The latest wellness news, plan information, and pharmacy updates in one convenient location.
Due to system enhancements, you may be temporarily unable to access some features. we apologize for any inconvenience this may cause. Please try back later.

Forms & Brochures

Here you'll find the forms most requested by members. Just follow the links below to download the form you need.
 

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Administrative
Authorization for release of information, designation of a personal representative, and more.
 

Health Plans—Miscellaneous
Dental claims, subscriber submit claim, Medicare Part D appointment of representative, and more.
 

Health and Wellness
Fitness and Weight Loss Reimbursements, immunizations and screening tests for children, and more.
 

Pharmacy
Pharmacy claim form and request for prior authorization form.
 

Tax Forms
Overview of 1099-HC and 1095-B tax forms.


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800-262-BLUE (2583)