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Who to Call

Medical and Hospital Services

  • Member Services and Prior Authorizations:
    410-779-9932 or toll-free at 1-844-386-6762; TTY: 711

    October 1 - March 31 | 8 am - 8 pm EST | 7 days a week
    April 1 - September 30 | 8 am - 8 pm EST | Monday - Friday

  • Vision:
    1-844-475-6334; TTY: 711
    8am-8pm EST, Monday through Friday

  • Dental (DentaQuest):
    1-844-474-6334; TTY: 711
    8am-8pm EST, Monday through Friday

  • Routine Transportation:
    1-844-476-6334; TTY: 711
    8am-8pm EST, 7 days a week, October 1 through March 31 and Monday through Friday, April 1 through September 30

  • Over-The-Counter Rx and Products:
    1-844-479-6334; TTY: 711
    8am-9pm EST, Monday-Friday

  • Routine Hearing Exams and Hearing Aids:
    1-844-479-6334; TTY: 711
    8 AM to 8 PM, EST, Monday-Friday

  • Porter:
    1-800-558-9922
    8AM to 8 PM EST, Monday-Friday

All Plan Members: Please call CareFirst BlueCross BlueShield Medicare Advantage prior to all non-emergency inpatient admissions.

Prescription Drug Services

Where to Write

Member Services

  • PO Box 915
    Owings Mills, MD 21117

Where to Send Premium Billing Forms

Social Security Administration/Railroad Retirement Board Deduction Forms

Attention: Enrollment Department
CareFirst BlueCross BlueShield Medicare Advantage
PO Box 915
Owings Mills, MD 21117

Where to Submit Claims

Medical and Hospital Claims

Providers can obtain additional information about submitting claims through Availity by calling 800-282-4548 or visiting the website at https://www.availity.com/essentials/. Any paper claims should be submitted to:

CareFirst BlueCross BlueShield Medicare Advantage
PO Box 14361
Lexington, KY 40512

Members

Please submit your claims for reimbursement to:

CareFirst BlueCross BlueShield Medicare Advantage
Claims Reimbursement
PO Box 915
Owings Mills, MD 21117

Part D Drug Claims

CareFirst BlueCross BlueShield Medicare Advantage
c/o CVS Caremark
P.O. Box 52066
Phoenix, AZ 85072-2066

Where to Submit Appeals and Grievances

Grievances

Grievances for Medical Care

Call: 833-536-2001 (TTY users: 711)

Fax: 443-753-2298

Write:

CareFirst BlueCross BlueShield Medicare Advantage
Attention: Appeals & Grievances Department
P.O. Box 915
Owings Mills, MD 21117

Grievances for Part D Prescription Drugs

Call: 1-844-786-6762 (TTY users: 711)

Fax: 1-855-633-7673 (TTY users: 711)

Write:

Grievance Department
P.O. Box 30016
Pittsburgh, PA 15222-0330

Appeals

Important Note: Requests for “Expedited” or “Fast” Appeals may be made verbally; however, all Standard Appeals must be made in writing.

Appeals for Medical Care

Call: 833-536-2001 (TTY users: 711)

Fax: Clinical Expedited Appeals 410-605-2566

Write:

CareFirst BlueCross BlueShield Medicare Advantage
Attention: Appeals & Grievances Department
P.O. Box 915
Owings Mills, MD 21117

Appeals for Part D Prescription Drugs

Call: 1-844-786-6762 (TTY users: 711)

Fax: 1-855-633-7673

Write:

CVS Caremark Coverage Determinations/Exceptions
P.O. Box 52000
Phoenix, AZ 85072-2000

Premium Assistance

Extra Benefits

Other Resources

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