File a Claim 

Health Benefits Claim Forms

Health Benefits Claim Form - Columbia Service Center
Health Benefits Claim Form - Greenville Service Center
State Health Plan Comprehensive Benefits Claim Form

Medicare Supplements

When filing Medicare supplement claims, members should write their BlueCross BlueShield ID numbers on their Medicare Summary Notices. Then, they should make copies of all pages and mail them to us at:

BlueCross BlueShield of South Carolina
Consumer Products AF-525
P.O. Box 100133
Columbia, SC 29202-3133

If a member's policy has prescription drug coverage (Plans H and I), he or she should send us copies of drug receipts or a printout from the pharmacy. The member should include his or her BlueCross BlueShield ID number and mail all of the documentation to us at the above address.

Flexible Spending Account (FSA) Claim Forms

Medical Reimbursement Flexible Spending Account (FSA) Claim Form
Dependent Care Flexible Spending Account (FSA) Claim Form 
Qualified Transportation Account Claim Form
Because these benefits are optional, members should check their handbooks to make sure they have BlueCross FSAs.

Vision Claim Forms

Vision Claim Form - Columbia Service Center
Vision Claim Form - Greenville Service Center
Healthy Vision Claim Form - Out-of-Network Claims
Because these benefits are optional, members should check their handbooks to make sure they have these benefits and to see which plans they have.

Dental Claim Forms

Dental Services Claim Form - Columbia Service Center
Dental Services Claim Form - Greenville Service Center 
Dental Services Claim Form - State Dental Service Center 

Health Reimbursement Account (HRA) Claim Form

Health Reimbursement Account (HRA) Claim Form
Because this benefit is optional, members should check their handbooks to make sure they have BlueCross HRAs before submitting this form.