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Forms and Documents

These commonly used forms and documents can help you manage your plan. They are available as PDF files. Just click on a form or document to download or print it. You may need to install a PDF reader program. Most PDF readers are a free download. One option is Adobe® Reader® which has a built-in reader. You can download this at Adobe's site.

Plan-Specific Forms and Documents

Blue Cross Community Health Plans℠ (BCCHP)

Health Benefits for Immigrant Adults and Seniors (HBIA/HBIS)

Managed Long Term Services and Supports (MLTSS)

General Forms and Documents

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Need Help?

If you have questions about your plan, we can help. To ask about what the plan covers, find a provider, change your PCP and more, just call us. We are available 24 hours a day, seven days a week. Members with hearing or speech loss can call the TTY/TDD line at 711.

Call 1-877-860-2837