1. Download, print and complete form with signature:
Enrollment Application 2025
Click here to 2024 Enrollment Application
You can enroll in a Preferred Care Partners plan RIGHT NOW by doing the following:
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)
UHC Preferred Dual Complete FL-V1 (HMO D-SNP)
UHC Preferred Dual Complete FL-Y2 (HMO-POS D-SNP)
UHC Preferred Dual Complete FL-V2 (HMO D-SNP)
UHC Preferred Dual Complete FL-Y3 (HMO-POS D-SNP)
Need Assistance Completing This Form?
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UHC Preferred Medicare Advantage FL-0001 (HMO)
UHC Preferred Medicare Advantage FL-0002 (HMO)
UHC Preferred Medicare Advantage FL-002P (HMO)
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UHC Preferred Complete Care FL-0003 (HMO C-SNP)
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UHC Preferred Dual Complete FL-D001 (HMO D-SNP)
UHC Preferred Dual Complete FL-D01P (HMO D-SNP)
UHC Preferred Dual Complete FL-V1 (HMO D-SNP)
UHC Preferred Dual Complete FL-Y2 (HMO-POS D-SNP)
UHC Preferred Dual Complete FL-V2 (HMO D-SNP)
UHC Preferred Dual Complete FL-Y3 (HMO-POS D-SNP)
Or you can:
2. Enroll online by completing and submitting your enrollment form electronically!