Blue Cross Forms - Executives

Health Care Claim Form (Core Plan)

This form is used to submit claims for products or services offered through the core plan such as prescription drugs, private or semi-private hospital accommodation, ambulance, wheelchairs, and hearing aids.

Dental Claim Form

This form is used to submit all dental claims including accidental dental services.

Direct Deposit Form

This form is used to set up direct deposit of any payments received from Alberta Blue Cross.

Health Spending Account Claim Form

This form is used to claim allowable expenses under the Health Spending Account.

Wellness Spending Account Claim Form

This form is used to claim allowable expenses under the Wellness Spending Account.