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Member resources

Get my ID card.

Your member ID card is what a doctor, hospital, or pharmacy uses to bill your plan. Here is what every field on it means, how to get another copy, and what to do if you need care before it arrives.

Reading your card

What every field is for.

Cards differ by insurer and plan type, so yours may not have every field below and may label some differently. These are the ones a provider or pharmacy asks for most often.

Member name and ID
The name the plan is issued under and the member ID that identifies you to every provider and pharmacy. Each covered person may have their own suffix on the same ID.
Group number
Present on plans offered through an employer or association. It tells the biller which set of benefits applies to you.
Plan or product name
Names the network and benefit design, such as an HMO, PPO, EPO, or POS plan. It affects which providers are in network and whether you need a referral.
Cost share amounts
Many cards print common copays, for example primary care, specialist, urgent care, and emergency room. Treat them as a summary: your plan documents and benefits page are the full answer.
Rx numbers
The RxBIN, RxPCN, and RxGRP values a pharmacy needs to run your prescription through your drug coverage. Missing digits are the most common reason a pharmacy cannot process a fill.
Member services number
The phone number for the team that administers your specific plan. It is the fastest route for benefits, claims, billing, and replacement cards.
Claims mailing address
Usually printed on the back. Send paper claim forms, appeals, and written requests there so they reach the right processor.

Three ways to get it

Pick whichever is easiest.

A replacement card is free, and you never have to prove why you need one.

  1. 01 Online

    Log in and download it.

    Once your account is open, your ID card is available to view, print, or save as a PDF, and you can email a copy to a provider office that asks for one.

  2. 02 On your phone

    Use the mobile app.

    The app carries a digital version of your card that a front desk can scan or photograph. Useful when the paper card is at home or has not arrived.

  3. 03 By phone

    Ask member services.

    Call the number on your card, or the number in your welcome packet if you do not have a card yet, and ask for a replacement by mail or email. There is no charge for a replacement.

No card in hand

What to do at the front desk.

  • Say your plan name and give your name and date of birth so the office can verify coverage electronically
  • Show a digital card from the app or a photo of the card if you have one
  • Ask the office to bill your plan rather than collecting the full amount up front
  • If you do pay, keep the itemized receipt: it is what a reimbursement claim needs
  • For a prescription, ask the pharmacy to hold the fill until you can supply the Rx numbers, so you are not charged cash price

Good to know

ID card questions.

How long does a new ID card take to arrive?
Plans typically mail cards within a couple of weeks of enrollment being processed, and a replacement usually arrives faster than a first card. Exact timing depends on your plan and your state, so ask member services for the date yours was issued if you are waiting.
Can I get care before my card arrives?
Yes. Coverage starts on your effective date, not on the day the card shows up. Give the office your name, date of birth, and plan name, and they can verify eligibility electronically. If they cannot, pay attention to what you are asked to sign, keep the receipt, and file for reimbursement once your card arrives.
Does everyone on my plan get their own card?
That depends on the plan. Some issue a card for each covered person, others issue one card in the subscriber name that covers the whole household. Either way, each covered person is identified by the member ID plus a suffix.
What should I do if my card is lost or stolen?
Ask for a replacement right away, and tell member services that the card was lost or stolen rather than damaged. A health plan ID can be used to commit fraud in your name, so it is worth flagging so claims can be watched.
Is a photo of my card good enough?
For most visits, yes. A clear photo of both sides gives the front desk everything they need. Keep it somewhere private, since the card holds enough information to bill in your name.

Not covered yet

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