BlueCross BlueShield of South Carolina

Other Health/Dental Insurance Information

The Other Health/Dental Insurance Questionnaire gives us information about any other health coverage you may have that can affect how we pay benefits. 

To complete the form online, log into My Health Toolkit^®. It's easy to use and helps speed up claims processing. For other health coverage, select the Health tab and then the "Other Health Insurance" link at the top of the page. For dental coverage, select the Dental tab and then the "Other Dental Insurance" link.

You can also download a PDF of the BlueCross BlueShield of South Carolina Other Health/Dental Insurance Questionnaire. There is also a Spanish version of this form.

Please note: Federal Employee Program (FEP) members will need to complete the FEP Other Health/Dental Insurance Questionnaire.