Prescription Drug Claim Form

Blue Cross and Blue Shield of Minnesota Self-Insured Complaint Form

BCBS Fully Insured Complaint Form

BCBS and Blue Plus Fully Insured Complaint Form

SecureBlue (HMO SNP) member appeal rights process

Blue Plus Member Appeal Rights Process

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

Vision claim form (Medicare)

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

BlueCard Worldwide International Claim Form - Spanish

Reclamo Internacional

Subscriber Medical Claim Form - Spanish

Formulario de solicitud de reembolso presentado por el miembro

Non-Minnesota/Non-Par Provider Claim Adjustment Appeal Form