Blue Cross Blue Shield of Massachusetts (BCBSMA) fax number

Fax destination details

Department

Medicare Advantage Appeals Coordinator

Purpose

Submitting Medicare Advantage / Part D drug coverage determination requests and related appeals; member forms such as the Request for Medicare Drug Coverage Determination Form and MAPD designation/disenrollment forms are commonly faxed to this number for processing.

Form

Request for Medicare Drug Coverage Determination Form; MAPD Designation of Personal Representative; Medicare Advantage Disenrollment Form — Request for Medicare Drug Coverage Determination Form; MAPD Designation of Personal Representative; Medicare Advantage Disenrollment Form

Address

P.O. Box 55007, Boston, MA 02205-5007

Voice phone

1-800-200-4255

Website

Visit organization website

Before you send

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• Check the organization website or call its main line for the current fax number.
• Include a cover sheet and any case, member, claim, or form reference required.
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