Carrier Enrollment Submission Information

Carrier Name **ALL APPLICATIONS MUST BE SIGNED & DATED PRIOR TO THE REQUESTED EFFECTIVE DATE**Product TypeFax Number/EmailAdditional Notes
AARP/UHCAARP (MEDSUPP-ONLY)888-836-3985
Aetna (HP)Aetna (HP)(888) 554-7668*To Verify Fax number, refer to the First two letters of the App Code (bottom right hand corner of application)
Aetna (MA & PD)Aetna (MA & PD)(866) 441-2341*To Verify Fax number, refer to the First two letters of the App Code (bottom right hand corner of application)
Aetna (NG & JV)Aetna (NG & JV)(866) 756-5514*To Verify Fax number, refer to the First two letters of the App Code (bottom right hand corner of application)
Aetna (RX)Aetna (RX)(866) 415-2232*To Verify Fax number, refer to the First two letters of the App Code (bottom right hand corner of application)
Aetna Senior SuppAetna-Med Supp877-380-2777
Aetna BOR ChangeBOR ChangeBrokerSupport@Aetna.com
AmericoFinal Expense800-395-9261
AnthemHMO, DSNP, PPO800-833-8554
AnthemExtras877-238-1107
AnthemMed Supp844-236-7967
AnthemPDP (NON CT)800-833-8554
AnthemPDP (CT ONLY)866-342-7048
Anthem BOR ChangeBOR ChangeSenior_Salescomp@Anthem.com
BCBSRIALLMedicareEnrollmentIntake@bcbsri.org
CarePartners of CTALL781-982-1887
CignaMed Supp877-704-8186
CombinedMed Supp866-545-8076
Emblem HealthALL866-890-7722
Envision RxPDPFIRST: Key in client's name at www.envisionrx.com
THEN FAX TO: 844-293-4756
Fallon Navicare SCO
& Navicare SCO BOR Changes
SCOEmail to: NaviCareBrokerServices@fallonhealth.org
Fallon (All Other)All except SCOMedicareSalesOperations@fallonhealth.orgcc: Beth.Evans@fallonhealth.org
Fallon BOR ChangeBOR ChangeMedicareSalesOperations@fallonhealth.org
ForestersAll866-300-3830
GerberAll877-608-4634
HPHCHPHC - Med SuppMedicare_Supplement_Broker_Request@hphc.org
HPHCHPHC - STRIDEstrideenrollment@harvardpilgrim.org
HumanaAll877-889-9936
Mary WashingtonAllOnline Enrollment Portal
Mutual of Omaha All855-867-7611This is not United of Omaha. They are different.
OptimaAllExpress Enrollment Online (preferred)Fax: 757-252-8039 (backup)
Email: medicare@sentara.com (backup)
SettlersAll888-275-2644
SilverScriptPDPFIRST: Submit enrollment to www.silverscriptagentportal.com
THEN FAX TO: 866-552-6205
or EMAIL TO: Enrollment.Verification@CVSCaremark.com
TuftsAll617-972-9475
UHCPreferred Dade501-262-7070
UHCSCO855-250-2168
UHCSenior D702-304-7460
UHCHMO, PPO, RPPO, PFFS888-950-1170
UHCPDP888-950-1170
United AmericanUnited American972-569-3678
United of OmahaUnited of Omaha866-799-9076
WellCareWellCare866-473-9124
WellCare BOR ChangeBOR Change(866) 473-9124