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Enrollment Application 2024

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

1. Download, print and complete form with signature:

UHC Preferred Medicare Advantage FL-0001 (HMO)

UHC Preferred Medicare Advantage FL-0002 (HMO)

UHC Preferred Dual Complete FL-D001 (HMO D-SNP)

UHC Preferred Complete Care FL-0003 (HMO C-SNP)

UHC Preferred Medicare Advantage FL-002P (HMO)

UHC Preferred Dual Complete FL-D01P (HMO D-SNP)

Need Assistance Completing This Form?

  • UHC Preferred Medicare Advantage FL-0001 (HMO)

    UHC Preferred Medicare Advantage FL-0002 (HMO)

    UHC Preferred Medicare Advantage FL-002P (HMO)

    • Phone

      Phone

      1-844-723-6470 (TTY -711) Toll-Free

    • Fax

      Fax

      1-888-950-1170

    • Office Hours

      Office Hours

      8 a.m. to 8 p.m. 7 days a week

  • UHC Preferred Complete Care FL-0003 (HMO C-SNP)

    • Phone

      Phone

      1-855-548-1564 (TTY -711) Toll-Free

    • Fax

      Fax

      1-888-950-1170

    • Office Hours

      Office Hours

      8 a.m. to 8 p.m. 7 days a week

  • UHC Preferred Dual Complete FL-D001 (HMO D-SNP)

    UHC Preferred Dual Complete FL-D01P (HMO D-SNP)

    • Phone

      Phone

      1-855-874-6282 (TTY -711) Toll-Free

    • Fax

      Fax

      1-888-950-1169

    • Office Hours

      Office Hours

      8 a.m. to 8 p.m. 7 days a week

Or you can:

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

  • Enroll Online

    Website

    Enroll online by completing and submitting your enrollment form electronically!

    www.medicare.gov