Blue Cross of Idaho

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Dental Insurance

A great smile can go a long way. Check out Blue Cross of Idaho's group and individual dental plans.

Disease Management Programs

By encouraging self-management and facilitating optimal care with doctors, our disease management programs can help you achieve cost-effective healthcare that promotes a greater quality of life.

Quick News Links

FDA OKs Concerta for Adult ADHD

The FDA has approved the drug Concerta for the treatment of attention deficit hyperactivity disorder (ADHD) in adults.

Download Instructions:

The following applications and forms are in PDF format. Adobe Acrobat Reader software is required to view, print and search these PDF documents. Please download this free software on the Adobe Acrobat Web site. Please note that Blue Cross of Idaho does not provide Technical Support for Acrobat Reader Software. For technical support, please contact Adobe.

APPLICATIONS & FORMS	FORM NO.
Application Cover Sheet for Group Dual Option (HSA)	3-128
Application for Medium/Large Employer Coverage	3-326
ASC Application/ Questionnaire for New Groups	3-437
ASC Group Health/Dental Enrollment Application	3-307
ASC Group Health Enrollment Application	3-305
Employee Census Data	3-468
Employee's Waiver of Health Care Coverage	3-467
Group Questionnaire for New Groups - 51 or more employees	3-471
Large Group Health Application with Health Statement	3-300
Large Group Health Application without Health Statement	3-556
Large Group Health/Dental Enrollment Application with Health Statement	3-301
Large Group Health/Dental Application without Health Statement	3-393
Letter of Record	3-302
Managed Care Group Questionnaire for New Groups 51 or More Employees	3-243
Managed Care ASC Application/Questionnaire for New Groups	3-244