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  • Membership Termination Form - Upmc Health Plan

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MEMBERSHIP TERMINATION FORM MEMBERSHIP TERMINATION FOR MONTH of , 20 Please indicate any changes to your billing address below. Group Number: City, State, ZIP Code: Group Name: Contact Person: Street.

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How to find your 1095-A online Log in to your HealthCare.gov account. Under "Your Existing Applications," select your 2022 application — not your 2023 application. Select “Tax Forms” from the menu on the left. Download all 1095-As shown on the screen.

How to cancel UPMC Health Plan Call customer service. Ask to speak with a representative. Provide them with your policy number and customer details. Request cancellation fo your health plan and monthly premiums. You will receive a confirmation letter or email.

Certificate of Coverage: The legal contract between you and UPMC Health Plan. The contract notes your rights as a member and also details UPMC Health Plan's obligations as a health insurer. It provides detailed descriptions of covered services and lists services that are not covered.

Just click to connect. You can also visit the Contact UPMC page or call 412-647-8762 (UPMC) or 1-800-533-8762 (UPMC). If this is an urgent medical matter, please call 911 or go to the nearest ER for treatment. customer service team.

There are two ways you can ask to be disenrolled: You can make a request in writing to us. Contact your Health Care Concierge team toll-free at 1-877-539-3080. TTY users should call 1-800-361-2629.

To speak with a customer service associate, please call 412-864-0284 or toll-free 1-844-591-5949. For questions about your UPMC Health Plan bill, please contact Member Services at 1-888-876-2756 or TTY 711. Hours: Monday - Friday: 7 a.m. - 7 p.m.

free unlimited gym memberships Unlimited free access to participating fitness facilities. One free personal training session per year at a participating fitness facility.

You can contact your insurance company directly if you're canceling a privately purchased health insurance plan. Your health insurer's phone number is on your policy, health insurance card, and premium bills. Your health insurance provider may allow you to cancel over the phone.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232