Skip to content

Need help on a submitted enrollment? Submit an Enrollment Inquiry Request Here

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-Med Supp(877) 380-277721
Aetna BOR ChangeBrokerSupport@Aetna.com2*Must be received, by the carrier, prior to the requested effective date.
Anthem- HMO/DSNP/PPO(800) 833-85543Must be faxed per number listed on application
Anthem - PDP (CT Only)(866)-342-70483
Anthem - PDP (CA & GA Only)(800) 833-85543
Anthem - PDP (All Other States)(800) 833-85543
Anthem-Extras(877) 238-11073
Anthem-Med Supp(844)-236-79677
Anthem BOR changeSenior_Salescomp@Anthem.com3*Must be received, by the carrier, prior to the requested effective date.
BCBSRIMedicareenrollmentintake@bcbsri.org3All application types - if MUST fax use 1-401-459-5025
CCA - SCO ONLYBrokerSupport@commonwealthcare.org
cc to JDemos@commonwealthcare.org
3
Cigna-Med Supp(877) 704-818621
CloverEnrollment site: www.cloverhealth.com/en/brokers/plan-documents-enrollment

Fax (732) 993-6650
2
Combined-Med Supp(866) 545-807621
CTCare (Med Advantage)medicarepe@emblemhealth.com3
CTCare Medicare SupplementMail / Connecture Portal OnlyApplications must be mailed in with first months premium OR via Connecticare broker portal. No applications can be submitted via email or fax.
Denver Healthdhmpsales@dhha.org2
Emblem Health(866) 890-77223
EternalFax (866) 437-1627 or Agent Portal: broker.eternalhealth.com 24 - 48 hrs
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 - D-SNP(877) 889-9923 3
Humana - MAPD/PDP(877) 889-99363
Health New England - Med Suppsfernandes@hne.com7
KaiserApps can only be submitted via SunfirePer Kaiser - A broker can take a paper enrollment then submit through Sunfire
Mass AdvantageONLINE ENROLLMENT ENCOURAGED. IF NEED TO EMAIL TO: brokers@massadvantage.com
MediGoldFax (614-234-8622)
Molina(844)-541-68483
Mutual of Omaha - PDP(855)-867-67113
Optima(757) 648-13673
UHC - SCO(855) 250-21683*Must be received, by the carrier by 1:00 P.M. on the last day of the month.
UHC - Restricted Plans(888) 950-11693
UHC AARP - Med Supp(888) 836-398521
UMASS / MASSADVANTAGEONLINE ENROLLMENT ENCOURAGED. IF YOU NEED TO EMAIL SEND TO: brokers@massadvantage.com
United American-Med Supp(972) 569-367821
Virginia Premiervpeenrollment@virginiapremier.com3
Wellcare - MAPD(866) 473-91243
Wellcare - PDP(866) 388-15213
WellCare BOR Change3*Must be received, by the carrier, prior to the requested effective date.
WellSense(866) 266-08023

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.

 

Enrollment Support Inquiry Request support on a specific enrollment