Independence Blue Cross COVID-19 claim forms

Click on the proper link below to download the COVID-19 Claim form
you need !

As always please reach out to your Total Benefit Solutions, Inc
health insurance specialist at (215)355-2121 for any questions or concerns.

 

Keystone HMO/POS  KHPECOVID19 vaccine form
Independence Blue Cross Personal Choice 
COVID19 vaccine form