Forms and Documents

Find the forms and documents you need to manage your Blue Cross Community MMAI (Medicare-Medicaid Plan)SM offered by Blue Cross and Blue Shield of Illinois.

View these forms and documents in Spanish. If you have questions, please Contact Us.

Find the forms and documents you need to manage your Blue Cross Community MMAI (Medicare-Medicaid Plan)SM offered by Blue Cross and Blue Shield of Illinois.

View these forms and documents in English. If you have questions, please Contact Us.

2024 Plan Documents

Privacy Documents

Medicare & Medicaid Forms

Utilization Management Forms