Benefit Summaries
Blue Shield of California Website
| 2018 CSAC EIA |
|---|
|
| Management and Non Management 2017 |
Forms:
- Affidavit of Dependent Eligibility
- International Claim Form
- Medical Claim Reimbursement Form
- Medical Claim Reimbursement Form Outside California
- Prescription Mail Order Form
- New Medication Prescription form
| Important Numbers | ||
|---|---|---|
| Blue Shield California 1 855-256-9404 |
Mexico Network (Pinnacle) 1 800-649-9121 |
Teladoc 1 800 TELADOC |