An “Initial Certification” is required under the Blue Shield Plans. Coverage for that dependent will continue subject to the Initial Certification and any subsequent annual certifications.
Two criteria are required:
- The disabled dependent over the age of 26 must be chiefly dependent upon the subscriber for support and maintenance
- The Subscriber must submit a written certification from the personal physician of the disabled dependent that certifies the disabling condition
Proof of continuing disability and dependency must be provided as requested by the plan. If you have questions regarding a dependent with a disability that is over the age of 26, please call your dedicated Blue Shield member services at (855) 256-9404.