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  1. Use this form to update your information, change your current plan because of a qualifying life event or cancel your coverage. If you enrolled in your plan through the Health Insurance Marketplace (your enrollee ID starts with XYW), you must call the Marketplace directly at 1-800-318-2596 to make all membership changes.

  2. www.bcbsm.com › forms-documents › bcbsm-individual-change-of-status-form2024 Membership Changes - BCBSM

    2024 Membership Changes. Individual and Family Plans. Use this form to update your information, change your current plan because of a qualifying life event, or terminate coverage.

  3. If you're a provider in Michigan, find your Blue Cross Blue Shield forms, drug lists and medical record retrieval documents.

  4. Access your online account at member.bcbsm.com. Login or Register here.

  5. 11 Νοε 2013 · BCBS FEP Dental is a Federal Employees Dental and Vision Insurance Program (FEDVIP) dental plan available to federal employees, USPS employees, retired federal employees, retired USPS employees, retired uniformed service members and their families.

  6. GENERAL INFORMATION. Use this claim form to submit a claim for services that are covered under your dental program. To avoid delay in having your claim processed, please complete a separate claim form for each patient, and be sure that all information is complete and correct.

  7. For your convenience, you can update your coordination of benefits information online at bcbsm.com. If neither you nor your covered dependents have any additional group health coverage, simply call our automated response number at 866-263-9494.

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