Benefits Forms and Links

Health Insurance
Provider Directory
Health Expense Claim Form

Contact Information
www.bcbsga.com
1-800-441-2273

24/7 Nurseline
1-888-724-2583
 
Prescription
Prescription Formulary
Prescription Claim Form
Mail Order Prescription Form

Contact Information
Express Scripts Customer Service: 1-866-281-4654
First Time Users Program:  1-800-782-8476


Flexible Spending 
Flex Claim Form
Eligible Flex Expenses
Questions Regarding FSA:
www.benefitadminsolutions.com/bcbsga 
(Company Name: Athens-Clarke County)

BCBSGA: 1-866-747-0046
Dental Insurance
Dental Summary of Benefits

Contact Information 
www.deltadentalins.com
Delta Dental: 800-521-2651

Vision Insurance
Vision Summary of Benefits
Vision Plan Document
Vision Providers - Athens area
Out-of-Network Vision Claim Form
 
Contact Information
www.bcbsga.com
BCBSGA: 1-800-441-2273

Life Insurance
Beneficiary Designation
Metlife Plan Document

Contact Information 
Metlife: 1-800-638-6420

Long Term Disability
Long Term Disability Application
Waiver of Premium Application

LTD Questions
Unum:  1-800-858-6843

Waiver of Premium Questions
Metlife: 1-800-300-4296