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Independence Blue Cross (IBX) – Medigap cancellation forms (also used by AmeriHealth Medigap) fax number

(215) 238-2289

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Medigap Cancellation / Medicare Department

Used for: Cancellation of a Medigap policy; submission of the Medigap cancellation form

Fax destination details

Department
Medigap Cancellation / Medicare Department
Purpose
Cancellation of a Medigap policy; submission of the Medigap cancellation form
Form
MS8378 — Cancellation Request Form (Medigap)
Address
P.O. Box 13713, Philadelphia, PA 19101-3713

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Complete, sign, and submit the form by mail or fax to Independence Blue Cross Medigap Department. Fax to 215-238-2289; mail to P.O. Box 13713, Philadelphia, PA 19101-3713.

Official form instructions are published as a downloadable file on the organization's website.

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