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1-800-407-9069 (TTY - 711) Toll-Free
8 a.m. - 8 p.m. local time, 7 days a week
 
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Enrollment Application 2022

Click here for 2021 Enrollment


You can enroll in a Preferred Care Network plan RIGHT NOW by doing the following:

1. Download, print and complete form with signature:

Enrollment Application

Application Instructions

         Instructions for plans above

         Plan Recap

Enrollment Application 

Application Instructions

        Instructions for plans above Instructions

        Plan Recap

 

Need Assistance Completing This Form?

Phone/Fax

MedicareMax (HMO) Miami-Dade                                                    1-844-723-6471

MedicareMax (HMO) Broward                                                           (TTY 711) Toll - Free

Fax

1-888-950-1170

Phone/Fax

MedicareMax Plus 1 (HMO D-SNP)                                                   1-866-367-7525

MedicareMax Plus 2 (HMO D-SNP)                                                    (TTY 711) Toll - Free 

Fax

1-888-950-1169

Hours

Open 8 a.m. a 8 p.m 7 days a week,including holidays

 

OR:

2. Enroll online by completing and submitting your enrollment form electronically!

 

 

Disclaimer information

Preferred Care Network is insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract. Enrollment in the plan depends on the plan's contract renewal with Medicare. Benefits, features and/or devices vary by plan/area. Limitations and exclusions apply. Network size varies by market. Every year, Medicare evaluates plans based on a 5-star rating system. The star rating is for 2022. H5420 received 5 out of 5 stars.