BlueChoice (HMO) |
BluePreferred |
Catastrophic |
Personal Comp |
Grandfathered Plan Medical Forms
These forms are to be used if you have a "grandfathered" plan, an individual or family plan into which you enrolled before the Affordable Care Act was signed into law on March 23, 2010.
- If you are unsure of the plan you have, look on your Member ID card. You may contact Member Services by calling the telephone number on your card.
- Other Member Services contact numbers are also available.
Grandfathered Medical Plans
Plan Termination
Proof of Coverage
Reinstatement Request
View Form For members who purchased their plan directly from CareFirst and not through a state Exchange. |