Fast forms – online
Managing your health coverage plan is easy with your Blue KC member account. Speed through the process of submitting insurance claims online and get reimbursed faster. If you don’t yet have a member account, create an account first.
The following forms can be found inside your member account:
- Medical/Dental Claims
- Pharmacy Claims
- Blue Cross and Blue Shield Global Core International Claims
Prefer to submit your health insurance claim by mail?
Note: Review of your form and potential reimbursement will be slower than online submissions.
- Medical/Dental Claim Form
- Claim Inquiry Form
- Pharmacy Claim Form
- Blue Cross Blue Shield Global Core International Claim Form
- Travel Benefit Claim Form (Review your benefit documentation or call Customer Service to confirm eligibility)
Applications
- Dental Product Application
- Spanish Language Dental Product Application
- Medicare Supplement Application
Member Forms
- Complaint/Grievance
- 1095 A, B, & C Forms – See Frequently Asked Questions below
Short-Term Plan Applications
- Short-Term Plan Application (up to 90 days without Rx)
- Spanish Language Short-Term Plan Application (up to 90 days without Rx)
Prior Authorization
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