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Form analysis
3 forms found in the DOM

Name: searchQueryForm — GET /searchresults

<form id="siteSearch" class="" name="searchQueryForm" method="get" action="/searchresults" style="display: inherit;">
  <!--  input type="hidden" value="searchCenter:query" name="uri" -->
  <a href="javascript:void(0)">
				<img src="/wcm/connect/cf7bdbe3-d93d-47d0-8e4d-a3308e122e35/icon__search.png?MOD=AJPERES&amp;CACHEID=ROOTWORKSPACE-cf7bdbe3-d93d-47d0-8e4d-a3308e122e35-mPfzcTC" alt="search icon" title="search icon" class="search-icon" onclick="$('#search-input-dev').focus();$('#liveSearchResults').text('');$('#search-input-dev').val('');setFocus();"></a>
  <div class="search-input-items">
    <input id="search-input-dev" type="text" name="q" class="search-text" placeholder="How can we help you today?" autofocus="">
    <img src="/wcm/connect/ea2f3909-6f59-4e03-b92c-7386556ffdaa/icon_blue-x.svg?MOD=AJPERES&amp;CACHEID=ROOTWORKSPACE-ea2f3909-6f59-4e03-b92c-7386556ffdaa-mR37vzu" alt="close icon" class="close-icon"
      onclick="$('#liveSearchResults').text('');$('#search-input-dev').val('');triggerAnalytics(event);">
  </div>
  <ul class="list-group" id="liveSearchResults"></ul>
</form>

POST https://sso.bcbst.com/pf/adapter2adapter.ping?IdpAdapterId=FormIDPAdapterMemberPortal&SpSessionAuthnAdapterId=LoginTest

<form id="login-form-header" class="w-100" method="POST" action="https://sso.bcbst.com/pf/adapter2adapter.ping?IdpAdapterId=FormIDPAdapterMemberPortal&amp;SpSessionAuthnAdapterId=LoginTest" autocomplete="off">
  <div class="form-field mt-3">
    <label class="item-title" for="accountType">Select a login option</label>
    <select class="form-element default" name="accountType" id="accountTypeh" onchange="updateURL(this.value)">
      <option value="mem" selected="">Member</option>
      <option value="bro">Broker</option>
      <option value="emp">Employer</option>
      <option value="pro">Provider</option>
    </select>
  </div>
  <div class="form-field mt-3">
    <label class="item-title" for="username">Username</label>
    <input id="usernameh" data-toggle="tooltip-dropdown" data-original-title="" type="text" name="pf.username" class="form-control form-element" value="" autocorrect="off" autocapitalize="off" placeholder="Username">
  </div>
  <div class="form-field mt-3">
    <label class="item-title" for="password">Password</label>
    <input id="passwordh" type="password" class="text form-control form-element" name="pf.pass" autocomplete="off" style="margin-bottom: 10px;" placeholder="Password" onkeypress="if(event.keyCode == 13) return postOkheader();">
  </div>
  <p class="moreLink forgot">
    <a href="/forgotpassword/?usage=forgot" title="" target="" class="moreLink">Forgot Username/Password?</a>
  </p>
  <input type="hidden" id="okheader" name="pf.ok" value="">
  <input type="hidden" id="cancelheader" name="pf.cancel" value="">
  <a onclick="return postOkheader();" class="button w-100">Log in</a>
</form>

POST https://sso.bcbst.com/pf/adapter2adapter.ping?IdpAdapterId=FormIDPAdapterMemberPortal&SpSessionAuthnAdapterId=LoginTest

<form id="login-form" class="w-100 hero-login-form" _lpchecked="1" method="POST" action="https://sso.bcbst.com/pf/adapter2adapter.ping?IdpAdapterId=FormIDPAdapterMemberPortal&amp;SpSessionAuthnAdapterId=LoginTest" autocomplete="off">
  <div class="form-field mt-3">
    <label class="item-title" for="accountType">Select your account type</label>
    <select class="form-element default" name="accountType" id="accountType" onchange="updateURL2(this.value)">
      <option value="mem" selected="">Member</option>
      <option value="bro">Broker</option>
      <option value="emp">Employer</option>
      <option value="pro">Provider</option>
    </select>
  </div>
  <div class="form-field mt-3">
    <label class="item-title" for="username">Username</label>
    <input class="form-element" type="text" data-toggle="tooltip-dropdown" data-original-title="" name="pf.username" id="username" autocomplete="off">
  </div>
  <div class="form-field mt-3">
    <label class="item-title" for="password">Password</label>
    <input class="form-element" type="password" name="pf.pass" id="password" autocomplete="off" onkeypress="if(event.keyCode == 13) return postOk();">
  </div>
  <p class="moreLink forgot">
    <a href="/forgotpassword/?usage=forgot" class="moreLink">Forgot Username/Password?</a>
  </p>
  <input type="hidden" id="ok" name="pf.ok" value="">
  <input type="hidden" id="cancel" name="pf.cancel" value="">
  <a tabindex="0" onclick="return postOk();" class="button primary w-100">Log in</a>
</form>

Text Content

Log in

Log in or register an account

Select a login option Member Broker Employer Provider
Username
Password

Forgot Username/Password?

Log in
 * Our Plans
   * Our Plans Overview
   * Find a Plan for You
   * Employer & Group Plans
   * Individual & Family Plans
   * Dental & Vision Plans
   * Medicare Plans
   * Medicaid Options (BlueCare TN)
   * Medicare with Medicaid Plans (BlueCare Plus)
 * Use Insurance
   * Use Insurance Overview
   * Activate Your Account
   * Helpful Tools & Resources
   * Frequently Asked Questions
   * Understanding Claims
   * Understanding Your Rights
   * Our Mobile Apps
   * Documents & Forms
 * Get Care
   * Get Care Overview
   * Find Care
   * Pharmacies & Prescriptions
   * Personalized Care Programs
   * Member Discounts
   * Health & Wellness Resources
 * About Us
   * About Us Overview
   * Our Company
   * Leadership Team
   * In the Community
   * Improving Care
   * Careers
   * Diversity
   * BlueCross Healthy Places
   * News Center

 * Brokers
 * Employers
 * Providers
 * Contact Us



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GET THE LATEST UPDATES ON COVID-19 VACCINES AND ANSWERS TO YOUR COVERAGE
QUESTIONS AT BCBSTUPDATES.COM.


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BRINGING COMMUNITIES TOGETHER



The Foundation is working to create family-friendly parks where people of all
ages can come together for healthy play.

VIEW HEALTHY PLACES




LOG IN OR REGISTER AN ACCOUNT

Select your account type Member Broker Employer Provider
Username
Password

Forgot Username/Password?

Log in
 * Plan Find a plan
 * Care Find care
 * Prescription Pharmacy benefits
 * Contact Us


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See what plans we offer
plans we offer we're doing about coronavirus we're doing in our community



LET’S FIND THE HEALTH INSURANCE PLAN THAT WORKS FOR YOU

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MEDICARE PLANS

If you're over 65, we can help you understand your Medicare options and find the
plan that's best for you and your budget.

See more

INCLUDES

 * $0 Drug and $0 Medical Deductible
 * No Referrals
 * Wide choice of doctors and hospitals

See Plans
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MEDICARE WITH MEDICAID PLANS

If you're enrolled in Medicaid and eligible for Medicare, our BlueCare Plus plan
helps you stay covered with extra care.

See more

INCLUDES

 * Dental and hearing coverage
 * Extra help with special needs
 * Transportation services

See Plans
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INDIVIDUAL & FAMILY PLANS

If you're not covered by an employer, we have health plan options for you and
your entire family.

See more

INCLUDES

 * Free preventive care and screenings
 * Coverage when you travel out of state
 * Discounts on health and wellness programs, products and more

See Plans
+


MEDICAID PLANS

If you have special health and budgetary needs, we have a variety of BlueCare
plans and programs to keep you covered.

See more

INCLUDES

 * Free preventive care and screenings
 * Medical and behavioral health care and prescription medicines
 * Coverage varies based on age and benefit

See Plans
+


DENTAL & VISION PLANS

If you want to complete your coverage, we have a variety of dental and vision
plans for you to choose from

See more

INCLUDES

 * Routine eye and dental exams
 * Access to one of the largest networks in Tennessee
 * Discounts and savings

See Plans
+


EMPLOYER & GROUP PLANS

If you're looking for medical, dental and vision plans for you and your
employees, we have options to keep you covered from head to toe.

See more

INCLUDES

 * Medical, dental and vision all on one ID card
 * Access to one of the largest networks in Tennessee
 * Discounts and savings

See Plans
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We’ve made some changes to help you get the care you need. If you get a bill you
weren’t expecting or have any questions, contact us.


EXPANDED BENEFITS

We’re waiving member costs for COVID testing and treatment and allowing early
refills and 90-day supplies on many common medications. In many cases, members
will have extra time to file claims and appeals, as well.

Frequently asked questions


TELEHEALTH AND VIRTUAL VISITS

If you get your insurance through your employer or buy it on your own, we now
support telehealth visits for these plans. You can now have virtual visits with
providers in our networks who offer this service to help you manage your health
without leaving your home.

Log in for more virtual care options


COMMITMENT TO OUR COMMUNITIES

The COVID-19 pandemic has been a time of uncertainty for residents and
businesses across Tennessee. Find out how our foundation is helping our
neighbors and communities facing difficulties due to the virus.

See our support
Learn More


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As a mission-driven, not-for-profit company, we’ve been part of the community
for 75 years as the trusted insurer for individuals, families and employees in
Tennessee. So, you can expect excellent coverage,benefits and support for all
your health care needs.


BETTER TENNESSEE

We’re committed to the great state of Tennessee by improving health and
supporting the programs, services and people that help build a stronger
community.

See our mission


BLUECROSS HEALTHY PLACES

Our Healthy Places program creates public spaces like parks,athletic fields and
playgrounds to keep our communities healthy and strong.

See our spaces


COMMUNITY SUPPORT

We donate our time, collect donations and support so many great organizations
across Tennessee with hopes to better our communities and our lives.

See our impact
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IF YOU'RE A MEMBER YOU CAN FIND A FORM

FIND A FORM
REQUEST A 1095-B FORM
PAY PROVIDERS
GET A REPLACEMENT ID CARD

SEARCH FORMS


Take a look at some documents and forms that might be helpful to you.

REQUEST FORM




 * This form provides information about your health coverage.
 * Available to Off-Marketplace members and some members with employer-sponsored
   group coverage. Log in to see if this form applies to you.
 * If you had 2020 coverage through the Health Insurance Marketplace, Medicare
   Advantage, BlueCare or CoverKids Medicaid or CHIP, those organizations will
   provide your form.



Sign in to your account




 * Free online bill pay for members with individual and employer plans
 * Manage and easily monitor your medical expenses
 * Make quick and completely secure payments with your bank account, debit card
   or credit card



LOG IN TO BLUE ACCESS


You can view your Member ID card by logging into your account.

Register for BlueAccess


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WE'VE UPDATED OUR NOTICE OF PRIVACY PRACTICES

Your privacy is important to us. Learn more about how we protect and use your
information, and how you can view it.

LEARN MORE

 * Our Plans
 * Use Insurance
 * Get Care
 * About Us

 * Contact Us
 * Site Map
 * Careers
 * Member Rights
 * Privacy
 * Legal
 * Fraud
 * Nondiscrimination

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 * Español
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 * Kreyòl Ayisyen
 * Polski
 * Português
 * Italiano
 * Diné Bizaad

©1998-2021 BlueCross BlueShield of Tennessee, Inc., an Independent Licensee of
the Blue Cross Blue Shield Association. BlueCross BlueShield of Tennessee is a
Qualified Health Plan issuer in the Health Insurance Marketplace.
1 Cameron Hill Circle, Chattanooga TN 37402-0001

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