Questions? Call Preferred Care Network
Questions? Call Preferred Care Network
Enrollment Application 2024
Click here for 2025 Enrollment Application.

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

1. Download, print and complete form with signature:

Miami-Dade County

UHC MedicareMax Medicare Advantage FL-0028 (HMO)

Broward County

UHC MedicareMax Medicare Advantage FL-0029 (HMO)

Miami-Dade and Broward Counties

UHC MedicareMax Complete Care FL-0030 (HMO C-SNP)

UHC MedicareMax Medicare Advantage FL-D004 (HMO D-SNP)

Need Assistance Completing This Form?

  • UHC MedicareMax Medicare Advantage FL-0028 (HMO) Miami-Dade

    UHC MedicareMax Medicare Advantage FL-0029 (HMO) Broward

    UHC MedicareMax Complete Care FL-0030 (HMO C-SNP) Miami-Dade and Broward

    • Phone

      Phone

      1-844-723-6471
       (TTY - 711) Toll-Free

    • Fax

      Fax

      1-888-950-1170

    • Office Hours

      Office Hours

      Open 8 a.m. to 8 p.m.,
      7 days a week

  • UHC MedicareMax Medicare Advantage FL-D004 (HMO D-SNP) Miami-Dade and Broward

    • Phone

      Phone

      1-866-367-7525
       (TTY - 711) Toll-Free

    • Fax

      Fax

      1-888-950-1169

    • Office Hours

      Office Hours

      Open 8 a.m. to 8 p.m.,
      7 days a week

Or you can:

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

  • Website

    Website

    Enroll online by completing and submitting your enrollment form electronically!

    www.medicare.gov