Anthem Blue Cross : Information for Members

Information for Members

Member Services  
Log in to access information about your Dental Prime, Complete, Essential or Consumer Choice plan.  
Dental Prime, Complete, Essential or Consumer Choice Forms  
Extra Cleaning Form for Pregnant and Diabetic Members (Dental Prime or Complete only)
Anthem Whole Health Connection – Dental Self Enrollment Form (Refer to your benefit booklet to see if you are eligible –Dental Essential& Consumer Choice members only)
Dental Claim Form
Authorization to Release Information
Authorization to Release Information - Spanish
International Emergency Dental Program Frequently Asked Questions
Emergency Dental Treatment for the International Traveler
Disabled Dependent/Michelle’s Law
Provider Nomination Form
Dental Prime and Complete Contact Information  
Contact us at 877-567-1804. 
Dental Essential and Consumer Choice Contact Information  
Contact us at 1-844-729-1565. 

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Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association.