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BlueCare Plus (HMO SNP)SM Over-the-Counter Catalog

bluecareplus.bcbst.com

bluecareplus.bcbst.com . Welcome to the BlueCare Plus Tennessee Over-the-Counter (OTC) Program! This program can help you save time and money. You can purchase products in this catalog with your OTC benefit credits and get them shipped right to your door.

  Bcbst

MEDICARE SUPPLEMENT INSURANCE COMPANIES Please …

www.tn.gov

www.bcbst.com CAPITOL LIFE INSURANCE CO. A, F, G, N 1021 Reams Fleming Boulevard No pre-exist, attained age Franklin, TN 37067 866-237-3010 capitollife.com CIGNA HEALTH & LIFE INS CO A, F, G, HDF, P.O. Box 26580 6 month pre-exist, attained age Austin, Texas 78755-0580 866-459-4272 www.Cigna.com

  Bcbst

COVID‐19 Positive Test Report Form - Tennessee

www.tn.gov

BlueCare: COVID19REPORTING_LTSS@bcbst.com UnitedHealthCare: LTSSCMA@UHC.com Current Date Provider Agency Name Services Provided Reported by Agency contact Member First Name Member Last Name Member ID Member Age Program (CHOICES or …

  Tennessee, Bcbst

508C, Durable Medical Equipment Request Form

bluecare.bcbst.com

1 Cameron Hill Circle Chattanooga, TN 37402 . BlueCare. SM . TennCareSelect CoverKids . bluecare.bcbst.com . Durable Medical Equipment Request Form . To request services: BlueCare/TennCareSelect/CoverKids

  Bcbst

Member Information Physician and Facility Information

bluecare.bcbst.com

bluecare.bcbst.com . Prior Authorization Request Form Authorization is not a conirmation of coverage or beneits. Beneits remain subject to all contract terms, beneit limitations, conditions, exclusions, and the patient’s eligibility at the time services are rendered. Fax Number: 1-800-292-5311 ¨BlueCare ¨TennCareSelect ¨CoverKids

  Bcbst

BlueAdvantage (PPO)SM 2022 Formulary - bcbst-medicare.com

www.bcbst-medicare.com

“us”, or “our,” it means BlueCross BlueShield of Tennessee, Inc. When it refers to “plan” or “our plan,” it means BlueAdvantage. This document includes a list of the drugs (formulary) for our plan which is current as of 02/01/22. For an updated formulary, please contact us. Our contact information, along

  Tennessee, Bluecross blueshield of tennessee, Bluecross, Blueshield, Bcbst

2022 Pharmacy Directory - bcbst-medicare.com

www.bcbst-medicare.com

“us”, or “our,” it means BlueCross BlueShield of Tennessee. When it refers to “plan” or “our plan,” it means BlueAdvantage. We call the pharmacies on this list our “network pharmacies” because we have made arrangements with them to provide prescription drugs to Plan members. In most cases, your prescriptions are covered under

  Tennessee, Bluecross blueshield of tennessee, Bluecross, Blueshield, Bcbst

2022 BCBS BlueCare Plus Order Form

bluecareplus.bcbst.com

2022 Over-the-Counter (OTC) Catalog Order Form STEP 1 - COMPLETE YOUR INFORMATION BELOW Member ID (found on plan member ID card) Date of Birth

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