Information Requests

Medicare Advantage Information Request

Thank you for your interest in Medicare Advantage information from Highmark Blue Cross Blue Shield of Western New York.

Submit Your Request Online: Please complete the information below and we will send the information requested to the address you provide.
Or Call Us: Make your request or ask questions by calling 1-833-735-4511 (TTY: 711).

We are available between the hours of:

October 1 - March 31	8 a.m. to 8 p.m. 7 days a week
April 1 - September 30	8 a.m. to 8 p.m. Monday - Friday

By replying to this online request, a sales person may call you.

First Name

Middle Initial

Last Name

Address

City

State

Zipcode

E-mail

Phone Number

Please send information on the following: (you may check more than one)

I am interested in getting information because I am:

Current health insurance company

Highmark Blue Cross Blue Shield of Western New York (Highmark BCBSWNY) is a trade name of Highmark Western and Northeastern New York Inc., an independent licensee of the Blue Cross Blue Shield Association. Highmark BCBSWNY is a Medicare Advantage plan with a Medicare contract and enrollment depends on contract renewal. Highmark BCBSWNY complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-833-735-4515 (TTY 711). 注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-833-735-4515 (TTY 711).

Y0086_MRK3304
Content last updated: October 1, 2021