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How to fill out the AccessBlue Application online
The AccessBlue application is an essential document for individuals seeking health coverage through Blue Cross & Blue Shield of Rhode Island. This guide will provide you with clear instructions on how to expertly fill out the application online, ensuring that all necessary information is accurately submitted.
Follow the steps to complete your AccessBlue Application online effectively.
- Press the ‘Get Form’ button to access the form and open it in your preferred editor.
- In Section 1, provide your applicant information. Fill in your name, date of birth (format: mm/dd/yyyy), address, social security number, city, state, phone number, and BCBSRI member ID number if applicable. Ensure that you accurately answer the eligibility questions regarding health coverage, Medicaid, and Medicare.
- In Section 2, report your household income, which must include the total gross annual income of all household members before taxes. To accurately complete this section, attach copies of the previous year's Federal Income Tax Form 1040, W-2 forms, 1099 forms, and any statement of Social Security benefits, if applicable.
- In Section 3, read the certification statement carefully. By signing, you confirm that the information is true and that any misrepresentation could affect your application status. Sign the application, and if you are under 18, ensure that a parent or guardian also signs. If applicable, a spouse should also provide their signature.
- After completing the form, review all sections for accuracy. You can save your changes, download, print, or share the completed form as needed.
Take the next step towards securing your health coverage by completing your AccessBlue Application online.
A BAM account, or Business Account Management account, is a feature that allows users to manage their business applications efficiently. Within the AccessBlue Application, a BAM account can streamline your application processes and improve collaboration among team members. This account offers tools for tracking application statuses and facilitating communication within your organization, enhancing overall productivity.
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