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Portability Certificate

Has your coverage with Highmark Blue Cross Blue Shield West Virginia ended? Do you need a proof of coverage portability certificate to verify the length of coverage you had with Highmark West Virginia Blue Cross Blue Shield? You can order a certificate here. Remember this is only for policies that not active.

Last Name:
First Name, MI: ,

Date of Birth:
(e.g., MM/DD/YYYY format)
Member ID:
(e.g.,ZPOS123 45 6789.
Do not use hyphens.)
Home Address
Street Address 1:
Street Address 2:
City, State, Zip: ,
Daytime Phone: - -

Note: To submit an online request or change, you must be a member of the reference Highmark Blue Cross Blue Shield West Virginia health plan, or a group benefits administrator authorized to make requests or changes on the member's behalf.

Important!
Please review your information carefully before continuing. All information above is required and must be accurate to submit and complete your request.

 

 


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Highmark Blue Cross Blue Shield West Virginia is an independent licensee of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield companies. The Blue Cross and Blue Shield symbols are registered marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield companies.

Highmark Blue Cross Blue Shield West Virginia serves the state of West Virginia and Washington County, Ohio.