Resources & Forms

Submitting a Claim

When you receive care, a claim form must be submitted to CareFirst. See below for medical, prescription, dental and vision insurance claim forms. Follow the directions on each form to make sure that your benefits are applied correctly.

If you need help submitting a claim, contact Member Services using the phone number on the back of your CareFirst member ID.

	BlueChoice Claim Form (PDF)
	Major Medical Claim Form (for 65+) (PDF)
	Continuity of Care - Members in a Maryland Based Plan (PDF)
	Continuity of Care BC - Provider Not in Network (PDF)
	Disability Certification for Over-age Dependents
	Vision Claim Form (PDF)