How to Enroll

Before you enroll:

• Be sure you know the name of the plan you want to enroll in. If you’re not sure, use our Medicare plan finder.
• Have your red, white and blue Medicare card with you as a reference.
• Have your checking account number and routing number available, if you plan to automatically deduct your monthly premium from your checking account. (Note: this is only if you plan to enroll online or through a paper enrollment application).
• If you are enrolling in a Medicare Advantage HMO or PPO plan, select a Primary Care Physician.
• Read the enrollment disclaimer information.

Choose one of four convenient ways to enroll:

1. Enroll online by submitting our secure online form.
2. Or, call a Customer Service Representative at 1-866-249-8668 8:00 a.m. to 8:00 p.m. in your local time zone (TTY users call 1-800-777-9083) every day, to enroll over the phone.
3. Or, download a printable enrollment form to mail or fax to us.
4. Or, schedule a call for Medicare help with a licensed insurance specialist and enroll using a paper application.

If you’d like to switch your enrollment to a different Medicare Advantage plan for 2010 please call Customer Service at 1-866-249-8668 8:00 a.m. to 8:00 p.m. in your local time zone (TTY users call 1-800-777-9083) every day.

If you have questions about your enrollment eligibility, please call Customer Service at 1-866-249-8668 8:00 a.m. to 8:00 p.m. in your local time zone (TTY users call 1-800-777-9083) every day.

Medicare beneficiaries also may enroll in our plans through the Centers for Medicare & Medicaid Services Online Enrollment Center, located at www.Medicare.gov. For more information please contact us at 1-866-249-8668 8:00 a.m. to 8:00 p.m. in your local time zone (TTY users call 1-800-777-9083) every day.

Part D Medicare Reminder:

• If you are enrolled in a Medicare Advantage PFFS plan that includes a Medicare prescription drug benefit, or any Medicare Advantage coordinated care (HMO or PPO) plan, you will automatically be disenrolled from your respective plan if you choose to enroll in a Medicare Prescription Drug Plan.
• If you are enrolled in a Private Fee-for-Service plan (PFFS) that does not include Medicare prescription drug coverage, a Medicare Advantage Medicare Savings Account (MSA) plan or an 1876 Cost Plan, you will not be automatically disenrolled from your respective plan if you choose to enroll in a Medicare Prescription Drug Plan.