Vision claim form (Medicare)

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

Blue Plus Member Appeal Rights Process

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

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

Subscriber Medical Claim Form - Spanish

Formulario de solicitud de reembolso presentado por el miembro

BlueCard Worldwide International Claim Form - Spanish

Reclamo Internacional

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