Uncertainty quantification (UQ) for large language models (LLMs) aims to provide reliable measures of predictive confidence, yet current methods are often unstable under meaning-preserving perturbations. Semantically equivalent paraphrases can induce substantial variability in predictive confidence, even for methods with formal guarantees, such as conformal prediction. To address this issue, we propose a paraphrase-aware UQ framework robust to semantic rewordings. Our approach trains a lightweight proxy model on LLM hidden states and aggregates its predictions across paraphrases to construct label-wise nonconformity scores. Under score exchangeability, conformal calibration retains marginal coverage. This guarantee can also hold under test-only rewording, provided that the paraphrase pipeline satisfies an additional distributional alignment condition. We evaluate three settings (normal, fully reworded, and semi-reworded) which apply rewording to neither dataset, both calibration and test datasets, or only the test dataset, respectively. Across seven multiple-choice QA benchmarks and multiple model families, our method produces compact prediction sets with empirical coverage generally near the nominal target, even in the semi-reworded setting. Ablation studies show that the learned proxy accounts for most of the reduction in set size, while paraphrase-augmented training and inference-time aggregation improve stability under rewording. Code is available at https://github.com/Raina-Xin/PA_Score.

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