Contact Information for Members
Have questions about what your plan covers? Want to check the status of your claims? Log into My Health Toolkit® to access information about your benefits. Once you log in, you also can send us a secure message if you still have questions.
The following contact information may also be helpful.
- Health Claims: 803-264-2215 in Columbia, or toll-free 888-410-2227
- Dental Claims: 803-264-3879 in Columbia, or toll-free 800-222-7156
If you have BlueCross drug coverage:
- Prescription Drugs: 855-811-2218
- Specialty Drugs/BriovaRx: 877-259-9428
BriovaRx is a division of OptumRx. OptumRx is a Pharmacy Benefits Manager, an independent company that has been contracted to provider certain services related to your health plans prescription drug coverage.
South Carolina State Health/Dental/Vision Plans
For State of South Carolina: employees, retirees, and local government entities covered under these plans.
- Health Claims and Benefits: 803-736-1576 in Columbia, or toll-free 800-868-2520
- Dental Claims and Benefits: 803-264-7323 in Columbia, or toll-free 888-214-6230
- Pharmacy Claims and Benefits: 855-612-3128 (Express Scripts)
- Routine Vision Claims and Benefits: 877-735-9314 (EyeMed)
- Address Changes and Premiums: 888-260-9430 (PEBA)
Federal Employee Program
- South Carolina Midlands or Upstate: 800-444-0025
- South Carolina Charleston Area: 800-444-4325
- Out of State: Please call your local BlueCross or BlueShield Plan.
You can also contact us by mail. Please include the member's name, address and member ID. The address is:
BlueCross BlueShield of South Carolina
P.O. Box 100300
Columbia, SC 29202-3300
Welcome to Healthy Blue
Serving South Carolina Medicaid members
If your health plan changed recently, you can switch to a new plan.
Switch to Healthy Blue and you could earn a $25 gift card for completing a wellness visit.
Learn how to join
With Healthy Blue, you get the Medicaid benefits you need to live your best life.
Plus, free extras to keep your family healthy like:
Talk to a registered nurse anytime, day or night. Get answers to your medical questions, and find a doctor or urgent care center near you.
Never miss an appointment with free rides to your doctor’s office. Get a ride to your pharmacy to pick up medications.
Health and wellness discounts
Discounts for Jenny Craig® and Boys & Girls Club fees, free sports physicals for kids, and gift card rewards for pregnant members and new parents. View our extra benefits.
Disease Management program
No-cost Disease Management program to help you manage conditions such as asthma, diabetes and major depressive disorder.
Why choose Healthy Blue for your South Carolina Medicaid plan?
Healthy Blue has a strong provider network in South Carolina and offers the confidence and security as part of BlueCross BlueShield of South Carolina (BlueCross) — the only health insurer based and operated in South Carolina. When you cover yourself in BlueSM, it’s all about you.
- Coverage close to home. Our plan includes lots of doctors, hospitals and pharmacies to make getting care easy.
- A name you can trust. We have a history of caring, with more than 70 years of experience serving South Carolinians. We’re part of the BlueCross BlueShield of South Carolina family of health plans. BlueCross is the oldest and strongest health insurer in South Carolina.
- Free extra benefits on top of your regular Medicaid benefits. You’ll get benefits including no copays for urgent care and preventive visits, free car seats, and discounts on healthy lifestyle services like Jenny Craig® and Boys & Girls Club fees.
- A company that makes a difference in the community. Our Family of BlueSMgives back to the community. We promote good health and access to quality health care by providing funding to community partners. Our funding supports free medical clinics, school nursing programs and other ways that help South Carolinians who need it most.
BlueChoice HealthPlan is a health maintenance organization in South Carolina and an independent licensee of the Blue Cross and Blue Shield Association. The company sells health insurance to individuals and families and has around 31 different plans through the Blue Option that includes bronze, silver, gold, and catastrophic coverage.
There are open access plans through BlueChoice Advantage and BlueChoice Advantage Plus, which allows members to visit doctors and specialists without a referral. There are also high deductible health plans (HDHPs) and flexible spending accounts (FSAs), and health reimbursement accounts (HRAs) for some health plan members.
Because BlueChoice belongs to Blue Cross Blue Shield of South Carolina, members have access to some of the largest networks in the state.
BlueChoice Health Plan was founded in 1984 and was the first HMO plan offered by BlueCross Blue Shield of South Carolina, sold under the name Companion HealthCare. It was also the first health plan in the state to receive accreditation from the National Committee for Quality Assurance (NCQA). It is a part of the BlueCross BlueShield group rating of A+ received by A.M. Best Company. Today it serves around 200,000 people.
Like many insurance companies, BlueChoice HealthPlan’s product offerings include the following types of plans: HMO, EPO, and HDHP.
Explore BlueChoice HealthPlan with HealthMarkets today!
4101 Percival Rd.
Columbia, SC 29229
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