Enrollment Application 2022
Click here for 2023
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?
 |
Preferred Choice Dade (HMO)
Preferred Choice Broward (HMO)
1-844-723-6470 (TTY
711)
Preferred Choice Palm Beach (HMO)
toll free
Preferred Special Care Miami-Dade (HMO C-SNP)
|
1-855-548-1564
(TTY 711)
Toll-Free
|
|
 |
1-888-950-1170
|
 |
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
|
 |
1-888-950-1169
|
 |
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.
Benefits, features and/or devices vary by plan/area. Limitations
and exclusions apply. Network size varies by market. Every year,
Medicare evaluates plans based on a 5‐star rating system. Star
rating is for 2022.