BLUE CROSS BLUE SHIELD OF DELAWARE
- Plan Administrator
- Blue Cross Blue Shield Delaware
- Customer Service: (302) 429-0260 or 1-800-633-2563
- Program Description
- Summary Plan Descriptions by Plan
- State of Delaware Consumer-Directed Health (CDH) Gold Plan
- Preventive Health Guidelines
BCBSD promotes preventive care to help you stay well. Benefits are administered according to the BCBSD Preventive Health Guidelines materials. These materials contain details of when BCBSD pays for Preventive Care, which are listed below and available on BCBSD's website at bcbsde.com. All terms and conditions of your benefit plan apply to the Preventive Health Guidelines materials.
Preventive Health Guidelines 2010 - 2011- Preventive Health Guidelines for Maternity
- Preventive Health Guidelines for Children - Newborn to Age 12
- Preventive Health Guidelines for Teens and Young Adults - Ages 13 to 21
- Preventive Health Guidelines for Adults - Ages 22 and Older
- Laboratory Services
- Visit BCBSD’s website, for the most up-to-date information on Laboratory Services
- Lab Corp is Participating Provider Effective February 1, 2011.
- Notice of Lab Services for BCBSD Members
- Find a Lab Corp site, make an appointment, and find other information on Lab Corp at www.labcorp.com
- BCBSD's Letter to Members - January 2011
- Lab Corp Payment for Services
- "Authorize Payment Today No Bill Tomorrow" flyer in English and Spanish
LabCorp is requesting, not requiring, a credit card be submitted. If you choose not to submit a credit card for billing purposes, services will still be provided.
- "Authorize Payment Today No Bill Tomorrow" flyer in English and Spanish
- Lab Corp Extends Hours at Some Locations Effective 2-1-11
- Quest Diagnostics, AmeriPath, or CLBPath are Non-Participating Providers Effective February 1, 2011.
- Visit BCBSD’s website, for the most up-to-date information on Laboratory Services
- High Tech Radiology Utilization Management
- Medical Aid Units for Urgent Care
- Please note: Blue Care/HMO/IPA members must call their primary care physician before visiting a Medical Aid Unit.
- List of Medical Aid Units
- Documentation
- Statement of Support Form
This form must be completed, signed, and provided to your HR/Benefits Office.
- Full-Time Student Certification Form
This form must be completed, signed and provided to your HR/Benefits Office.
- Dependent Child Coordination of Benefits
In accordance with the Group Health Eligibility and Enrollment Rules, a Dependent Coordination of Benefits form must be completed for each dependent child upon enrollment, any time coverage changes, or upon request by the Statewide Benefits Office. Please complete the applicable form below and return it to your health care carrier at the address provided on the bottom of the form.
- Dependent Child Coordination of Benefits Form (.pdf)
Please print the form, complete, and send by U.S. Mail to:
- Dependent Child Coordination of Benefits Form (.pdf)
Blue Cross Blue Shield Of Delaware
Delivery Code 1-7-20
P.O. Box 1991
Wilmington , DE 19885-9876- Documentation
- Forms and Special Applications
- Appeal Process
- Non-Grandfathered Plan Appeal Process for Consumer-Directed Health Gold Plan
- Grandfathered Plan Appeal Process for State of Delaware First State Basic, Comprehensive Preferred Provider Organization (Comp-PPO), Blue Care (HMO), or Blue Cross Select Point of Service Plan (Port of Wilmington employees only)
- State of Delaware Authorization for Release Protected Health Information Form
- Statement of Support Form