Plan Eligibility
- You
- Your spouse or domestic partner
- Your children up to the age of 26
The information displayed on the Who's Covered and Claims pages comes from different parts of our internal systems.
Who’s Covered: Twins are shown separately by name
Claims Page: These searches are done by date of birth, so the results are "name1/name2 – 01/01/79”.
When you log in to My Account, you will see buttons that allow you to select the family member whose information you want to view. These selection buttons are also available on the claims search page.
The information displayed changes depending upon which family member is selected.
For some members, we can only display the subscriber's information in My Account because of how our systems access the information.
If you have questions about those family members, please call the Member Services number on your member ID card.
State and federal laws regulate the information CareFirst can make available online. Access to demographic and health plan eligibility information is granted as follows:
- Subscriber or Spouse—has access to all persons on the policy.
- Adult Dependent—(age 18 and over) only has access to his or her own information.
- Minor Dependent—does not have access to My Account.
For a member that has been granted a ‘Restriction’ or ‘Confidential Communication’ under the HIPAA Privacy laws, only that member will have access to view his or her claim information in My Account.
Questions that Require Phone Support
The following questions are best answered by one of our Member Services experts.
Questions that Require Phone Support
Some questions are too specific or personal to be answered online. That’s when you need to talk to one of our experts.
Member Services
- How do I get immediate help with a change in my membership?
- When will I get my new member ID cards?
- How do I get proof of coverage or a letter of credible coverage?
Technical Help
- How do I get help if I’m having technical issues with the website?
- How do I get help if I’m having trouble registering for My Account?
- How do I get help if I’m having trouble logging on to My Account?
- How do I log in to My Account if my email and phone number aren’t on file or haven’t been verified?
- How do I get help if I’m having trouble submitting forms or attachments?
Call Member Services using the phone number on the back of your ID card.
Call Technical Help
Phone: 877-526-8390
Hours: Monday–Friday, 8 a.m.–6 p.m. ET
Member Services
- Can you help me understand how my insurance plan works?
- How do I get assistance with complex benefits or specific benefit issues?
- How do I get more information about a particular treatment/service I’m considering?
- How do I find out if I need prior authorization for a procedure?
- What’s the status of my prior authorization request?
- How do I know how many visits I have remaining for a specific service (e.g., physical therapy)?
- How do I know how much money I have remaining in my allowance for a specific service (e.g., infertility treatments)?
Member Services
- Who do I talk to about billing issues?
- What’s the status of my claim appeal?
- Can you explain the denial code on my benefits claim?
- Can you help me with a claim I think has been processed incorrectly?
- Why is my claim being adjusted?
- Why was my claim with my in-network doctor processed as out-of-network ?
- Can you help me figure out how much I owe and to whom?
- Can you help me update my Coordination of Benefits (COB)?
- Can you help me with a routine visit that requires applied a cost share/patient liability?
- What’s the status of my over-accumulation review?
Member Services
- I can’t find a medical specialist for a specific issue. Can you help me?
- I can’t find a mental health specialist for a specific issue. Can you help me?
- Can you help me find an in-network doctor who doesn’t appear when using the Find a Doctor tool?
- Do I need prior authorization for a procedure I’m considering?
- Do I need a referral to see a specialist?
- Can you tell me if a doctor who’s not listed as a pediatrician works with children?
Member Services
- How can my healthcare plan help me save money?
- Am I eligible for any non-medical discounts through CareFirst?
Support & Service
Need help with your plan?
Have a question about your benefits? Not finding your answer online? Something else? We’re here for you.
Member Services
If you have additional questions, call Member Services using the phone number on the back of your ID card.
Having technical problems?
Can’t log in? Page not loading? Getting an error message? We can help.
Technical Help
Phone: 877-526-8390
Hours: Monday–Friday, 8 a.m.–6 p.m. ET
Need in-person assistance?
Do you have a coverage question that's hard to explain? Or do you just prefer meeting face-to-face? Either way, you're welcome to visit us.
CareFirst Engagement Center
1501 South Clinton Street
Baltimore, MD 21224
Hours: Monday–Friday, 10 a.m.–6 p.m. ET
To schedule an appointment, click here.
Related Resources for "Account Details"
Benefits of My Account
Learn all about your My Account page—a personalized homepage with access to benefits information, helpful tools and much more.
Understanding your member ID card
Take a quick tour of your CareFirst member ID card and the valuable information it provides.
Membership changes impacted by life events
Have your insurance needs changed? You may qualify to change your plan outside of normal enrollment periods.