Enroll Now

Not sure if you're eligible? Learn more about enrollment periods here.

You have the following options for easy enrollment:

Enroll Online

Enroll in a 2021 Plan

Enroll by phone

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

• 1-877-672-8620 (TTY 711), daily 8am - 8pm

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

• Election Form
• Plan Change Form
• Summary of Benefits
• Star Ratings

Jackson County PPO Plans

• Election Form
• Plan Change Form
• Summary of Benefits
• Star Ratings

Josephine County PPO Plans

• Election Form
• Plan Change Form
• Summary of Benefits
• Star Ratings

Klamath County PPO Plans

• Election Form
• Plan Change Form
• Summary of Benefits
• Star Ratings

Marion & Polk County PPO Plans

• Election Form
• Plan Change Form
• Summary of Benefits
• Star Ratings
• Formulario de Elección
• Formulario de cambio de Plan
• Resumen de Beneficios
• Clasificaciones de estrellas

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)

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