Member Dental Claim Form

Vision Direct Reimbursement Claim Form

Vision Claim Form (Medicare)

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

2026 SecureBlue Formulary (Drug List)

2026 SecureBlue Provider and Pharmacy Directory

2026 Platinum Blue Core Formulary

List of covered drugs.

2026 Medicare Advantage and Platinum Blue Choice and Complete Formulary

List of covered drugs.

2026 Medicare Advantage and Platinum Blue Part D Pharmacy Directory

2026 Group Medicare Advantage Pharmacy Directory

2026 Group Medicare Advantage Standard Formulary

For Group Medicare Advantage (PPO) Classic Rx2, Select Rx 2, Select Rx 3, Premier Rx 2, Premier Rx 3, Elite plans