File a Claim

Health Claim Forms

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

Dental Claim Forms

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

Vision Benefits Claim Forms

Vision Benefits Claim Form - Columbia Service Center 
Vision Benefits Claim Form - Greenville Service Center
Healthy Vision Out-of-Network Claim Form

Medicare Supplement Claims

Write your BlueCross BlueShield of South Carolina ID number on your Medicare Summary Notice. Make a copy 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 your policy has prescription drug coverage (Plans H and I), please send us copies of your drug receipts or a printout from your pharmacy. Include your BlueCross ID number and mail it to us at the above address.

Flexible Spending Account (FSA) Claim Forms

Medical Reimbursement FSA Claim Form
Dependent Care FSA Claim Form
Qualified Transportation Account Claim Form

Health Reimbursement Account (HRA) Claim Forms

HRA Claim Form