Forms and Documents Frequently Asked Questions

You can find electronic versions of our member forms using the Form Finder tool or the Forms & Documents link under the My Account tab on Blue Access for Members^SM.  

Here’s how:

• Download the form you need and fill it out completely. 

• Submit your form online via the BAM Message Center.  

• Attach the completed form and any other supporting documents that need to go with it.

• Select a subject category from the drop-down menu. For example, if you are submitting a claim form, select “Claims Submission Attachments from the drop-down menu.

You can then submit your completed for online through the BAM Message Center. Attach the completed form and select a subject category from the drop-down menu. For example, if you are submitting a claim, select “Claims Submission Attachments.”

To submit your completed form, you can: 

• Submit your claim online in the BAM Message Center. Attach the completed claim form, the original bill issued by the provider and select “Claims Submission Attachments” in the subject drop-down menu.

You can find member forms using our convenient Form Finder tool or the Forms & Documents link under the My Account tab on Blue Access for Members. 

Download or print out the form you need. You can either submit the completed form online via the BAM Message Center or mail it to the address listed at the top of the form.

If you’re covered by two health plans, your doctor may file a claim with both. Insurance companies decide which plan covers what costs. This is called Coordination of Benefits (COB). 

You may get a COB questionnaire from your insurer to set up the coordination of benefits so claims get paid correctly. If you do, please be sure to fill it out, even if you do not have any other coverage. You may also want to document any other coverage you have when your plan renews each year.

To file a medical claim for reimbursement, download the Claims Form – Dental from the Form Finder tool or from the Forms & Documents link under the My Account tab on Blue Access for Members — BAM. The form is available in English and Spanish.   

A standard authorization form lets you decide how BCBSMT can share your protected health information (PHI). You can list the names of all the individuals you’d like to have access to your PHI. You can also set a time frame so we know when permission ends and choose what information is shared.

For example, if a family member is helping with your care, you can add their name to your form. Other individuals listed might include your:

• Spouse
  
• Friend 
  
• Lawyer
  
• Parent
  

You can change — or cancel — your form at any time. If you don’t want your information shared with anyone, there’s no need to use a standard authorization form. You can always visit Blue Access for Members to print new copies of the standard authorization form.

If you have an insured group health plan with BCBSMT, you can get a copy of your 1095-B form using any of the following ways:

If you have a self-insured group health plan with BCBSMT, your employer will send you a 1095-C form.

If you have a plan directly from BCBSMT, use one of these four ways to ask for your BCBSMT Form 1095-B. 

Log in to Blue Access for Members, then select My Account and Forms and Documents to download your Form 1095-B. If you aren’t already registered for a BAM account, sign up now. It’s quick and easy. You’ll need the information on your member ID card.

Phone  
Call the number on your BCBSMT member ID card to ask for your Form 1095-B to be mailed to your address on file within 30 days.  
   
Mail  
Print and fill out the 1095-B Request Form, then mail it to:

Blue Cross and Blue Shield of Montana
C/O 1095-B Form Request
PO Box 660044
Dallas, TX 75266-0044 

Once this form is received, your 1095-B will be mailed to your address on file within 30 days.

Yes, Montana employers, whether their Blue Cross and Blue Shield of Montana plan is for a small group, mid-market group or large group can find some commonly used forms on the employer-specific version of our Form Finder tool. 

Employers can also find forms on the  Forms and Documents page. 

However, employers with group plans can find all the tools they need — including forms — on Blue Access for Employers. The secure website is designed for benefit administrators of employer groups with BCBSMT health insurance plans. With BAE, employers can perform online transactions for enrollment, membership, reporting, administration, billing and more — 24/7. 

Yes, producers can find the forms they need on the provider-specific version of Form Finder.

Form Finder has the same forms on the website and Blue Access for Members.

You can find detailed information about your health insurance plan, including a Summary of Benefits and Coverage, on Blue Access for Members.

To submit your completed form, you can:

• Submit your claim online in the BAM Message Center. Attach the completed claim form, the original bill issued by the provider and select “Claims Submission Attachments” in the subject dropdown, or;
• Mail the form and the original bill issued by your provider to the address printed at the top of the claim form.
• If you have a question, call the number on your member ID card. 

The Form Finder tool is a good place to start. It displays all the available forms. By clicking on the title of the document or its icon, you can see the entire form. You can see them on the Forms & Documents link under the My Account tab on Blue Access for Members.

You can sign up for Auto Bill Pay on Blue Access for Members. If you need help, call Customer Service at 1-855-258-8471.

In most cases, turning 26 means you won’t be covered under your parent’s health plan any longer. Don’t worry. Turning 26 qualifies as a life event that makes you eligible for Special Enrollment. You can enroll in your employer’s health insurance plan — or sign up for an individual plan.

Either way, you will need to submit documentation before you can enroll. See the list in part 1b of the Special Enrollment Chart.