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Enrollment Application 2021

Click here for 2020 Enrollment Application


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

1. Download, print and complete form with signature:

Enrollment Application

Application Instructions 

Instructions for plans above

Plan Recap

Enrollment Application

Application Instructions

Instructions for Preferred Special Care Miami-Dade (HMO C-SNP)

Plan Recap

If you are enrolling in Preferred Special Care Miami-Dade (HMO C-SNP), you must fill out the Chronic Condition Pre-Assessment Form.

Click here to download the Chronic Condition Pre-Assessment Form.

Enrollment Application

Application Instructions

Instructions for plans above

Plan Recap

 

Need Assistance Completing This Form?

Phone

  Preferred Choice Dade (HMO)
  Preferred Choice Broward (HMO)                                 1-844-723-6470   (TTY 711)
  Preferred Choice Palm Beach (HMO)                            toll free 
  Preferred Complete Care (HMO)

Preferred Special Care Miami-Dade (HMO C-SNP)

1-855-548-1564
(TTY 711)
toll free

Fax

1-888-950-1170

Phone

Preferred Medicare Assist Plan 1 (HMO D-SNP)                       
Preferred Medicare Assist Palm Beach (HMO D-SNP)       1-855-874-6282 (TTY 711) 
Preferred Medicare Assist Plan 2 (HMO D-SNP)                 toll free  

Fax

1-888-950-1169

Hours of Operations

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

OR:

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

 

 

Disclaimer information

Preferred Care Partners is insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract. Enrollment in the plan depends on the plan's contract renewal with Medicare. Limitations, co-payments, and restrictions may apply. Benefits, premium and/or co-payments/co-insurance may change on January 1 of each year. Every year, Medicare evaluates plans based on a 5‐star rating system. Star rating is for 2020