CareFirst - Sharecare

Care Management Appointment Request

Thank you for your interest in the CareFirst BlueCross BlueShield (CareFirst) Care Management program. Please fill out the information below and your care manager will contact you shortly.

Contact Information

First Name*

Last Name*

Phone Number*

Email*

Appointment Details

Please select two preferred days and times. Your care manager will call you in the next 5 business days. The initial call will take approximately 30 minutes.

Preferred Day #1?

Preferred Time of Day #1?

Preferred Day #2?

Preferred Time of Day #2?

Terms

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By checking this box, you agree to receive reoccurring automated promotional and personalized text messages from Sharecare at the mobile number provided above. Message and data rates apply. Message frequency varies. Reply HELP for help or STOP to cancel.

This well-being program is administered by Sharecare, Inc., an independent company that provides health improvement management services to CareFirst members. Sharecare, Inc. does not provide CareFirst BlueCross BlueShield products or services and is solely responsible for the health improvement management services it provides.

CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc., which are independent licensees of the BlueCross and Blue Shield Association. BLUE CROSS®, BLUE SHIELD® and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans.

Care Management Appointment Request

Appointment Details

Request submitted