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Enroll Now

The Annual Enrollment Period for 2020 is from October 15th to December 7th. We are unable to accept applications for 2020 until October 15th. You have the following options for easy enrollment:

ENROLL NOW ONLINE

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.

Hard Copy Application by Mail or Fax

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

  • 2270 NW Aviation Drive, Suite 3
    Roseburg, OR 97470
    Fax 866-238-1736 or 541-672-8670

2020 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.

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

2019 ELECTION FORMS

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.

Plan Change Forms

Plan Highlights

Star Ratings

*Every year, Medicare evaluates plans based on a 5-star rating system.