File a Claim
You can now file your health and dental claims online with My Health Toolkit®. Once logged in, select File a Claim from the Claims & Authorizations tab to get started.
If you would prefer to mail your claim, or are filing a vision, prescription drug, or Medicare supplement claim, please see the forms below:
Medical
Use these forms to file claims for medical services:
Health Benefits Claim Form
State Health Plan Comprehensive Benefits Claim Form
Dental
If your plan includes coverage for dental services, use these forms to file claims:
Dental Services Claim Form
Dental Services Claim Form for State Dental Plan
Vision
If your plan includes coverage for vision services, you may need one of these forms to file your claims:
Vision Benefits Claim Form - Columbia Service Center
Vision Benefits Claim Form - Greenville Service Center
Healthy Vision Out-of-Network Claim Form
Prescription Drug
Many of our plans include pharmacy and prescription drug benefits. If yours does, you’ll save money at the point of purchase when you use a network pharmacy.
There may be times when you need to file a claim. Examples include:
- You paid 100 percent for a covered medication.
- You didn’t show your member ID when you filled a prescription.
- You filled a prescription for a covered medication at a non-participating pharmacy.
In these cases, use the Prescription Drug Claim Form.
If you regularly take medication, you may also want to look into our mail-order service. With this benefit, you can order up to a 90-day supply of your prescriptions. Use the Prescription Drug Mail Service Form.
Medicare Supplement
When filing a Medicare Supplement claim, follow these steps:
- 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
Medicare prescription drug claims
If your Medicare Supplement 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. Mail these items to us at the above address.