BCBS provides two options to submit your claim: State Specific or Standard Claim Form. You can choose option below.
Standard Claim Form:
Download a Universal Claim Form here. Call the Customer Service number on the back of your Health Plan ID Card and ask for the mailing address for claim forms. Complete the claim form and submit it along with your CPAP Store USA itemized receipt and prescription to the address listed on the back of your Health Plan ID Card. Please email email@example.com for Tax ID. You can download more specific instructions (start on page 7) for filling out the claim form here.
Specific Local BCBS Forms:
Download the Specific BCBS Claim form for your local BCBS company. Click here to go to the Blue Cross Blue Shield website. Search for your local BCBS company. Once on that page, use the search field to search for “medical claim form.” Download the claim form. Follow the instructions to fill out and submit it along with your CPAP Store USA itemized receipt and prescription to the address given on the claim form.
Attach Receipt & Prescription
Include a receipt with your order and prescription. If it was ordered online or in-store you should have received the copy and if you don’t have email us at firstname.lastname@example.org
Submit Claim Form, Receipt and Prescription
Note: If your insurance provider has additional questions, please do not hesitate to reach out to us!
Get Money Back
After submitting your claim, you’ll typically be reimbursed within 2-3 weeks. It really depends on your provider.