Enroll Now

Annual Enrollment Period (AEP) for 2021 Plans ends December 7th!

You have the following options for easy enrollment:

Enroll Online

We are accepting Annual Enrollment Period applications for 2021 Plans! Please select the link below.

Enroll in a 2021 Plan

If you are newly eligible for Medicare or have a special election period and are eligible to enroll in a 2020 plan, click here for the online enrollment form.
Current members who want to complete an online Plan Change Form, click here.

Enroll by phone

Just call our Customer Service Department to complete your enrollment over the phone.

1-877-672-8620, daily 8am - 8pm
TTY 1-800-735-2900

Enroll In Person

Come into one of our four office locations and work with one of our agents to find the best plan for you. Due to COVID-19, we are accepting in person meetings by appointment only at this time.

REQUEST AN APPOINTMENT

Hard Copy Application by Mail or Fax

Simply complete the appropriate enrollment form found below and mail or fax the form to us at:

ATRIO Health Plans
2270 NW Aviation Drive

Roseburg, OR 97470

Fax 866-238-1736 or 541-672-8670

2021 ELECTION FORMS

Please print the Election Form that matches the county in which you reside. You must also complete and submit the Attestation of Eligibility Form along with your Election Form or Plan Change Form.

Douglas County PPO Plans

Jackson County PPO Plans

Josephine County PPO Plans

Klamath County PPO Plans

Marion & Polk County PPO Plans

Special Needs Plans

These plans are available to anyone who has both full medical assistance from the Oregon Health Plan (Medicaid) and Medicare

Election Form
Summary of Benefits (Douglas & Klamath)
Summary of Benefits (Marion & Polk)
Star Ratings (Douglas & Klamath)
Star Ratings (Marion & Polk)
Formulario de Elección
Resumen de Beneficios (Marion & Polk)
Clasificaciones de estrellas (Marion & Polk)

2020 ELECTION FORMS