What You Will Need:

  1. Your red, white and blue Medicare card.
  2. The plan name in which you wish to enroll.

Things to know about our easy online enrollment process.

  1. Completing an enrollment form online takes only 15 minutes.
  2. Your personal information is protected through our secure website.
  3. Online enrollment is official. Once you click submit, your application will be sent to processing.
  4. Help is close by. Please call us at 1-800-964-4525 (TTY 711) From 8 a.m. to 8 p.m., Monday–Friday, if you need assistance.


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  1. Medicare beneficiaries may also enroll with us through the Centers for Medicare & Medicaid Services Online Enrollment Center, located at http://www.medicare.gov.
  2. Once we confirm your eligibility with Medicare, you can expect to receive a confirmation letter by mail, identification card and your new member mailing within 10 days.