Coverage - Plan Information

 
Request ID Card

 

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) 730-8430 to request an ID card.

* Indicates a Required Field

   
 
Member Name: *
Group Number: *
Phone: *
Street 1: *
Street 2:
City: *
State: *
Zip: *
Who Needs the Card? *
   
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