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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 2023

Click here for 2022 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 plan above

         Plan Recap

         If you are enrolling in MedicareMax Chronic (HMO C-SNP), you must fill out the following form:

         Chronic Condition Pre-Assessment Form.

Enrollment Application 

Application Instructions

        Instructions for plan above

        Plan Recap

 

Need Assistance Completing This Form?


Phone/Fax

MedicareMax (HMO) Miami-Dade                                                    1-844-723-6471
MedicareMax (HMO) Broward                                                           (TTY - 711) Toll-Free
MedicareMax Chronic (HMO C-SNP) NEW 

Fax
1-888-950-1170

Phone/Fax

MedicareMax Plus (HMO D-SNP)                                                     1-866-367-7525
                                                                                                           (TTY - 711) Toll-Free 

Fax

1-888-950-1169


Hours

Open 8 a.m. a 8 p.m., 7 days a week

 

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, for Medicare Advantage Plans: A Medicare Advantage organization with a Medicare contract. For Dual Special Needs Plans: A Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program 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 2023.