Contact & Help
Click on the applicable form, complete online, print, and then mail or fax it to us.
Florida Blue members can access a variety of forms including: medical claims, vision claims and reimbursement forms, prescription drug forms, coverage and premium payment and personal information.
Forms for Florida Blue Medicare members enrolled in BlueMedicare plans (Part C and Part D) and Medicare Supplement plans.
Forms for Florida Blue members enrolled in individual, family and employer plans.