Application Submission Time-Frames

**ALL APPLICATIONS MUST BE SIGNED & DATED PRIOR TO THE REQUESTED EFFECTIVE DATE**

Carrier Name/ Product TypeFax Number/ Email Address# of Days Garity has to submit applications to the carriersAdditional Notes
Aetna-MA - MAPD (HP)(888) 554-76682
Aetna-MA - MAPD (MA & PD)(866) 441-23412
Aetna-MA - MAPD (NG, JV & DS)(866) 756-55142
Aetna-MA - DSNP GA (US)(844) 984-03932
Aetna-Rx(866) 415-22322
Aetna Silver Script(866) 552-62052
Aetna BOR ChangeBrokerSupport@Aetna.com2*Must be received, by the carrier, prior to the requested effective date.
Aetna-Med Supp(877) 380-277730
Anthem- HMO/DSNP/PPO(800) 833-85543
Anthem - PDP (CT Only)(866)-342-70483
Anthem - PDP (CA & GA Only)(800) 833-85543
Anthem-Extras(877) 238-11073
Anthem-PDP(866) 342-70483
Anthem BOR changeSenior_Salescomp@Anthem.com3*Must be received, by the carrier, prior to the requested effective date.
Anthem-Med Supp(844)-236-79677
BCBSRIMedicareenrollmentintake@bcbsri.org3All application types - if MUST fax use 1-401-459-5025
Cigna-Med Supp(877) 704-818630
CloverEnrollment site - https://www.cloverhealth.com/en/brokers/plan-documents-enrollment
Fax - (732) 993-6650
2
Combined-Med Supp(866) 545-807630
CTCaremedicarepe@emblemhealth.com3
Denver Healthdhmpsales@dhha.org2
Emblem Health(866) 890-77223
FallonMedicareSalesBrokers@fallonhealth.org 3*Must be received, by the carrier, prior to the requested effective date.
Fallon BOR ChangeMedicareSalesBrokers@fallonhealth.org3*Must be received, by the carrier, prior to the requested effective date.
Fallon - Navicare SCOESR.mailbox@fallonhealth.org3*Must be received, by the carrier, prior to the requested effective date.
HPHC - Med SuppMedicarebroker@Harvardpilgrim.org7*Must be received by the carrier no later than 7 days after the requested effective date
HPHC - STRIDEMedicarebroker@Harvardpilgrim.org3
Humana - MAPD/PDP(877) 889-99363
Health New England - Med Suppsfernandes@hne.com7
Mass AdvantageONLINE ENROLLMENT ENCOURAGED. IF NEED TO EMAIL TO: brokers@massadvantage.com
Molina(844)-541-68483
Mutual of Omaha - PDP(855)-867-67113
Optima(757) 648-13673
Tufts(617) 972-94753medicarebrokersupport@tufts-health.com
UHC AARP - Med Supp(888) 836-398530
UHC - HMO, PPO, RPPO, PFFSMandRenrollment@uhc.com3
UHC - Preferred DadeMandRenrollment@uhc.com3
UHC - Senior DMandRenrollment@uhc.com3
UHC - PDPMandRenrollment@uhc.com3
UHC - SCO(855) 250-21683*Must be received, by the carrier by 1:00 P.M. on the last day of the month.
United American-Med Supp(972) 569-367830
Virginia Premiervpeenrollment@virginiapremier.com3
Wellcare - MAPD(866) 473-91243
Wellcare - PDP(866) 388-15213
WellCare BOR Changejulianna.kaveney@wellcare.com3*Must be received, by the carrier, prior to the requested effective date.

FAQs

Medicare Advantage / PDP Enrollment Submission Chart

PRODUCT ENROLLMENT TYPE

EMAIL

FAX OK

ORIGINALS NEEDED
(Must Mail)

HMO-HMO/POSYESYESNO
RPPOYESYESNO
PDPYESYESNO
SCONONOOriginal PSI Form Only

Medicare Supplement Enrollment Submission Chart

 No Live CheckLive CheckMail
All Carriers Except HPHCFax or EmailMailY
HPHCFax or EmailN/A*N

* Please fax or email all your HPHC Medicare Supplement applications directly to our office to be processed. HPHC does not accept collection of first month’s premiums with their Medicare Supplement applications, members are billed after enrollment approval.