Please complete the form below to request a replacement ID. You must provide your phone number in case we need to verify information.

Please allow two weeks for delivery.

You can also call your Blue Cross and Blue Shield of Illinois customer service center at (800) 325-0320 to request an ID card.

An asterisk (*) indicates a required field.

Member Information
Member Name: *
Group Number: *
Phone Number: *
Address: *
City: *
State: *
Zip Code: *
Who Needs the Card?: *