Become a Member
WHEN CAN YOU ENROLL?
- If you have both Medicare and full Medicaid coverage, you can join a plan at any time.
- If you're new to Medicare, you can join during the period that starts three months before the month you get Medicare, and ends three months after you get Medicare.
- If you're eligible for a Medicare Advantage Plan you can join or switch Medicare Advantage Plans during the Annual Election Period (AEP) from October 15 through December 7.
- In special circumstances, Medicare may give you an opportunity to switch to another plan. For example, if you permanently move out of your plan's service area; if you qualify for extra help paying for prescription drugs; if the plan stops offering prescription drug coverage; or if you enter, live in, or leave a nursing home.
HOW CAN YOU ENROLL? There are two ways to enroll. Either select #1 below to begin our online enrollment process or download the Individual Enrollment form and Enrollment Instructions and mail to us as explained in #2. See #1 and #2 below:
To begin the enrollment process online now: CLICK HERE
Fill out the Individual Enrollment Form (see below), and mail to 7878 N. 16th Street, Suite 105, Phoenix, AZ 85020. (See Individual Enrollment Form and Enrollment Instructions in English and Spanish):
|Individual Enrollment Form||English||Spanish|
Toll Free 1-888-864-1114
7 Days a Week 8 a.m. to 8 p.m.
We offer two Medicare plans in Arizona:
Serving Residents in Arizona's Maricopa, Pima, & Pinal counties
If you're Medicare eligible and want medical, hospital, prescription drug coverage, plus no cost extras like podiatry and chiropractic benefits.
If you're Medicare and Medicaid (AHCCCS) eligible and want medical, hospital and prescription drug coverage, plus no cost extras like dental, hearing and vision coverage, over the counter benefits, chiropractic and podiatry.
Go to Our Member Page for Additional Benefit Information
Medicare beneficiaries may enroll in Abrazo Advantage Health Plan (HMO) through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.
Extra Help for Prescription Drugs
You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or Your Medicaid Office.
Abrazo Advantage Health Plan (HMO) is a Medicare Advantage organization with a Medicare contract and a contract with the Arizona Medicaid program.Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details. The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, premium and/or co-payments/co-insurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. If you are a full-dual eligible enrollee your monthly Part B premium is paid by the State. This information is available for free in other languages. Please contact our customer service number at 1-888-864-1114 or TTY (800) 842-4681 Seven days a week from 8 a.m. to 8 p.m. Esta información está disponible gratuitamente en otros lenguajes. Por favor comuníquese al número para servicio al cliente a 1-888-864-1114 o TTY (800) 842-4681 siete días a la semana 8 a.m.a 8 p.m. During seminars a sales person will be present with information and applications. For accommodation of persons with special needs at sales meetings, call (855) 674-9309 or TTY (800) 842-4681.
H5985_246-2013 Pending CMS Approval