Enroll Now
The Annual Enrollment Period for 2020 ended December 7th, 2019. We can accept your application if you qualify for a Special Election Period. Click here to learn more about enrollment periods.
You have the following options for easy enrollment:
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 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
- Election Form
- Plan Change Form
- Plan Highlights
- Star Ratings
- Formulario de Elección
- Formulario de cambio de Plan
- 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
- Plan Highlights
- Star Ratings (Douglas & Klamath)
- Star Ratings (Marion & Polk)
- Formulario de Elección
- Clasificaciones de estrellas (Marion & Polk)
Every year, Medicare evaluates plans based on a 5-star rating system.
- Last updated Jan 7, 2020