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Blue Cross and Blue Shield of Montana fax number

(855) 426-5344

Medicare Supplement / Member Services

Used for: Medicare Supplement Insurance Application submission

Fax destination details

Department
Medicare Supplement / Member Services
Purpose
Medicare Supplement Insurance Application submission
Form
Medicare Supplement Application (Montana MT) — Application for Medicare Supplement Insurance Plan
Address
P.O. Box 3897, Scranton, PA 18505 (Medicare Supplement application submissions).
Voice phone
+1-855-520-1577

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Instructions: To be considered for coverage, you must have Medicare Parts A and B, reside in Montana. Complete in ink; sign and date on pages 5, 6, and 10. Send no money now. Mail to Blue Cross and Blue Shield of Montana c/o Member Services, P.O. Box 3897, Scranton, PA 18505. Fax: 855-426-5344.

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