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  • Rapid Quote Request Form - Anthem

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Rapid Quote Request Form Health care plans, Anthem Dental Pediatric, and Dental Net? plans offered by Anthem Blue Cross. Dental Prime, Dental Complete, Dental Blue?, dental PPO, vision and life plans.

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How do I get a replacement copy of the Form? If a Form 1095-A is addressed to you and you are the account holder on your NY State of Health account, you can find the form in your online account at .nystateofhealth.ny.gov. Log in to your account and look for the Form 1095-A in your inbox.

To Live Fearless is to live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield behind you.

Didn't receive IRS Form 1095-A? Call us at (800) 300-1506. Get more information about your federal taxes (Form 1095-A).

For all other precertification requests (including all elective inpatient or outpatient services), please fax to: 1-800-964-3627.

Care Management support is available 24/7 through Anthem Blue Cross Cal MediConnect Plan Customer Care at 1-855-817-5786.

How to find your 1095-A online Log in to your HealthCare.gov account. Under "Your Existing Applications," select your 2022 application — not your 2023 application. Select “Tax Forms” from the menu on the left. Download all 1095-As shown on the screen.

If you had a BCBSTX plan through the Marketplace, the Marketplace sends you a 1095-A form. Log in to your online Marketplace account or call 800-318-2596 (TTY: 855-889-4325) to ask for a copy of the 1095-A.

What do I include with my appeal? If your appeal is about a Part D drug: Your completed Redetermination Request Form. Your name, address and member ID number. Your reasons for appealing. Any information or evidence (documents, medical records) to support your appeal.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232