Get Blue Cross Extended Health Claim Form - Bc Teachers' Federation - Bctf

This guide aims to provide clear and step-by-step instructions for users on how to effectively complete the Blue Cross Extended Health Claim Form associated with the BC Teachers' Federation. By following these instructions, you can ensure that your claim is submitted accurately and efficiently.

Follow the steps to fill out your claim form online:

1. Press the ‘Get Form’ button to access the Blue Cross Extended Health Claim Form. This will open the document for you to begin filling it out.
2. In the Member Information section, enter your member ID number, policy number, and company name. Then, provide your first and last name, along with your employment status (full time, part time, or retiree). Include your daytime phone number and mailing address, and check the box if you have a new address.
3. Answer the Other Coverage section by indicating whether you or your dependents have other insurance coverage for these benefits. If yes, provide the name of the other insurance company, policy number, ID number, and the member's name with their employment status. Include effective and cancellation dates if applicable.
4. Indicate if your claim is a result of an accident or related to WorkSafe BC or ICBC. Check the relevant boxes for any related claims and provide details if necessary.
5. In the Expense Information section, list the name and birthdate of each claimant. Specify the type of expense, date of service, amount paid, provider of service, and optionally, the nature of the illness or injury.
6. At the bottom of the Expense Information section, you can calculate the total claim amount if desired.
7. Sign and date the Member Consent & Declaration area. Confirm that you have provided accurate information and that you understand the implications of sharing your personal data.
8. Once you have filled out all sections of the form, save any changes that were made. You can then download the form to keep a copy, print it for submission, or share it as needed.

Complete your claim form online today to ensure a smooth submission process.