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Formas en Español

Formulario

2024 Formulario

Plan documents

Enroll in a new plan

You can enroll in a Medicare Advantage Plan when you first become eligible for Medicare, or during certain times of the year. For more information on eligibility and enrollment, refer to our Medicare Guidebook (.pdf).

2024 enrollment forms and documents

 Lista de Verificación de preinscripción

Formulario de Solicitud de Inscripción

Formulario de Selección del Plan

Resumen de Beneficios

Premera Medicare Advantage Star Ratings

The Medicare Star Rating is based on quality, service, and member satisfaction.

 Calificaciones por Estrellas Medicare – Total Health (HMO), Classic (HMO), Medicare Advantage (HMO)

Membership Support

Online Resources

Visit premera.com/ma at any time to find information about your plan, as well as tips for managing your health.

Customer Service

Call toll free at 888-850-8526 (TTY: 711)

October 1 through March 31: 8 a.m. to 8 p.m., 7 days a week
April 1 through September 30: 8 a.m. to 8 p.m., Monday through Friday