UHC VA MAPD Enrollment Kit
File Action Enrollment UHC Dual Complete VA-Y4 (PPO D-SNP) Download Enrollment App UHC Nursing Home Plan EX-F004 (PPO I-SNP) Download Enrollment App UHC Medicare Advantage VA-0001 (PPO) Download Enrollment App UHC Medicare Advantage TC-0001 (PPO) Download Enrollment App UHC Dual Complete VA-Y3 (HMO-POS D-SNP) Download Enrollment App UHC Dual Complete VA-Y002 (HMO-POS D-SNP) Download Enrollment App UHC Dual Complete VA-Y001 (HMO-POS D-SNP) Download Enrollment App UHC Dual Complete VA-V001 (HMO-POS D-SNP) Download Enrollment App UHC Dual Complete VA-Q001 (HMO-POS D-SNP) Download Enrollment App UHC Complete Care VA-23 (HMO-POS C-SNP) Download Enrollment App UHC Complete Care VA-22 (HMO-POS C-SNP) Download Enrollment App UHC Complete Care VA-21 (HMO-POS C-SNP) Download Enrollment App UHC Complete Care TC-0005 (HMO-POS C-SNP) Download Enrollment App AARP® Medicare Advantage Patriot No Rx VA-MA01 (PPO) Download Enrollment App AARP® Medicare Advantage Patriot No Rx TC-MA01 (HMO-POS) Download Enrollment App AARP® Medicare Advantage Giveback from UHC VA-13 (HMO-POS) Download Enrollment App AARP® Medicare Advantage Giveback from UHC TC-4 (HMO-POS) Download Enrollment App AARP® Medicare Advantage from UHC VA-0018 (PPO) Download Enrollment App AARP® Medicare Advantage from UHC VA-0014 (HMO-POS) Download Enrollment App AARP® Medicare Advantage from UHC VA-0012 (HMO-POS) H5253-112-002 Download Enrollment App AARP® Medicare Advantage from UHC VA-0012 (HMO-POS) H5253-112-1 Download Enrollment App AARP® Medicare Advantage from UHC VA-0011-02 (HMO-POS) Download Enrollment App AARP® Medicare Advantage from UHC VA-0011-01 (HMO-POS) Download Enrollment App AARP® Medicare Advantage from UHC VA-0010 (HMO-POS) Download Enrollment App AARP® Medicare Advantage from UHC VA-0009 (HMO-POS) Download Enrollment App AARP® Medicare Advantage from UHC VA-0008 (HMO-POS) Download Enrollment App AARP® Medicare Advantage from UHC VA-0007 (PPO) Download Enrollment App AARP® Medicare Advantage from UHC VA-0006 (PPO) Download Enrollment App AARP® Medicare Advantage from UHC VA-0005 (PPO) Download Enrollment App AARP® Medicare Advantage from UHC VA-0004 (PPO) Download Enrollment App AARP® Medicare Advantage from UHC TC-0003 (HMO-POS) Download Enrollment App AARP® Medicare Advantage from UHC TC-0002 (HMO-POS) Download Enrollment App AARP® Medicare Advantage Access from UHC VA-20 (PPO) Download Enrollment A[[ UHC Complete Care Support TC-6 (HMO-POS C-SNP) Download
Download All
| File | Action |
|---|---|
| Enrollment UHC Dual Complete VA-Y4 (PPO D-SNP) | Download |
| Enrollment App UHC Nursing Home Plan EX-F004 (PPO I-SNP) | Download |
| Enrollment App UHC Medicare Advantage VA-0001 (PPO) | Download |
| Enrollment App UHC Medicare Advantage TC-0001 (PPO) | Download |
| Enrollment App UHC Dual Complete VA-Y3 (HMO-POS D-SNP) | Download |
| Enrollment App UHC Dual Complete VA-Y002 (HMO-POS D-SNP) | Download |
| Enrollment App UHC Dual Complete VA-Y001 (HMO-POS D-SNP) | Download |
| Enrollment App UHC Dual Complete VA-V001 (HMO-POS D-SNP) | Download |
| Enrollment App UHC Dual Complete VA-Q001 (HMO-POS D-SNP) | Download |
| Enrollment App UHC Complete Care VA-23 (HMO-POS C-SNP) | Download |
| Enrollment App UHC Complete Care VA-22 (HMO-POS C-SNP) | Download |
| Enrollment App UHC Complete Care VA-21 (HMO-POS C-SNP) | Download |
| Enrollment App UHC Complete Care TC-0005 (HMO-POS C-SNP) | Download |
| Enrollment App AARP® Medicare Advantage Patriot No Rx VA-MA01 (PPO) | Download |
| Enrollment App AARP® Medicare Advantage Patriot No Rx TC-MA01 (HMO-POS) | Download |
| Enrollment App AARP® Medicare Advantage Giveback from UHC VA-13 (HMO-POS) | Download |
| Enrollment App AARP® Medicare Advantage Giveback from UHC TC-4 (HMO-POS) | Download |
| Enrollment App AARP® Medicare Advantage from UHC VA-0018 (PPO) | Download |
| Enrollment App AARP® Medicare Advantage from UHC VA-0014 (HMO-POS) | Download |
| Enrollment App AARP® Medicare Advantage from UHC VA-0012 (HMO-POS) H5253-112-002 | Download |
| Enrollment App AARP® Medicare Advantage from UHC VA-0012 (HMO-POS) H5253-112-1 | Download |
| Enrollment App AARP® Medicare Advantage from UHC VA-0011-02 (HMO-POS) | Download |
| Enrollment App AARP® Medicare Advantage from UHC VA-0011-01 (HMO-POS) | Download |
| Enrollment App AARP® Medicare Advantage from UHC VA-0010 (HMO-POS) | Download |
| Enrollment App AARP® Medicare Advantage from UHC VA-0009 (HMO-POS) | Download |
| Enrollment App AARP® Medicare Advantage from UHC VA-0008 (HMO-POS) | Download |
| Enrollment App AARP® Medicare Advantage from UHC VA-0007 (PPO) | Download |
| Enrollment App AARP® Medicare Advantage from UHC VA-0006 (PPO) | Download |
| Enrollment App AARP® Medicare Advantage from UHC VA-0005 (PPO) | Download |
| Enrollment App AARP® Medicare Advantage from UHC VA-0004 (PPO) | Download |
| Enrollment App AARP® Medicare Advantage from UHC TC-0003 (HMO-POS) | Download |
| Enrollment App AARP® Medicare Advantage from UHC TC-0002 (HMO-POS) | Download |
| Enrollment App AARP® Medicare Advantage Access from UHC VA-20 (PPO) | Download |
| Enrollment A[[ UHC Complete Care Support TC-6 (HMO-POS C-SNP) | Download |
Aetna NC PDP Enrollment Kit
File Action PDP Application Download
Download
| File | Action |
|---|---|
| PDP Application | Download |
Aetna NC MAPD Enrollment Kit
File Action NC Aetna Enrollment Form Download
Download
| File | Action |
|---|---|
| NC Aetna Enrollment Form | Download |
Humana NC PDP Enrollment Kit
File Action 2026 Full Application Download
Download All
| File | Action |
|---|---|
| 2026 Full Application | Download |
Healthspring (Cigna) VA PDP Formulary
File Action Formulary HealthSpring Extra Rx (PDP) Download Formulary HealthSpring Assurance Rx (PDP) Download
Download All
| File | Action |
|---|---|
| Formulary HealthSpring Extra Rx (PDP) | Download |
| Formulary HealthSpring Assurance Rx (PDP) | Download |
Healthspring (Cigna) VA PDP Enrollment Kit
File Action PDP Enrollment App Download
Download All
| File | Action |
|---|---|
| PDP Enrollment App | Download |
Humana VA PDP Enrollment Kit
File Action 2026 Full Application Download
Download All
| File | Action |
|---|---|
| 2026 Full Application | Download |
Anthem VA MAPD Enrollment Kit
File Action Enrollment Kit Anthem Medicare Advantage 3 (HMO-POS) H3447 051 Download Enrollment Application Anthem Medicare Advantage 2 (HMO-POS) Download Enrollment Application Anthem Kidney Care (HMO-POS C-SNP) Download Enrollment Application Anthem Chronic Care (HMO-POS C-SNP) Download Enrollment Application 001-000 Anthem Dual Advantage (PPO D-SNP) Download Enrollment App Anthem Veteran (PPO)† H4909-020 Download Enrollment App Anthem Medicare Advantage 4 (HMO-POS) Download Enrollment App Anthem Medicare Advantage 3 (HMO-POS) H3447-052 Download Enrollment App Anthem Medicare Advantage 3 (HMO-POS) H3447 049 Download Enrollment App Anthem Medicare Advantage 2 (PPO) H4909-026 Download Enrollment App Anthem Medicare Advantage (PPO) H4909-014 Download Enrollment App Anthem Full Dual Advantage Support (HMO D-SNP) H4694-003 Download Enrollment App Anthem Full Dual Advantage 2 (HMO D-SNP) H4694-001 Download Enrollment App Anthem Full Dual Advantage (HMO D-SNP) H4694-004 Download Enrollment App Anthem Dual Advantage (HMO D-SNP) H4694-002 Download
Download All
| File | Action |
|---|---|
| Enrollment Kit Anthem Medicare Advantage 3 (HMO-POS) H3447 051 | Download |
| Enrollment Application Anthem Medicare Advantage 2 (HMO-POS) | Download |
| Enrollment Application Anthem Kidney Care (HMO-POS C-SNP) | Download |
| Enrollment Application Anthem Chronic Care (HMO-POS C-SNP) | Download |
| Enrollment Application 001-000 Anthem Dual Advantage (PPO D-SNP) | Download |
| Enrollment App Anthem Veteran (PPO)† H4909-020 | Download |
| Enrollment App Anthem Medicare Advantage 4 (HMO-POS) | Download |
| Enrollment App Anthem Medicare Advantage 3 (HMO-POS) H3447-052 | Download |
| Enrollment App Anthem Medicare Advantage 3 (HMO-POS) H3447 049 | Download |
| Enrollment App Anthem Medicare Advantage 2 (PPO) H4909-026 | Download |
| Enrollment App Anthem Medicare Advantage (PPO) H4909-014 | Download |
| Enrollment App Anthem Full Dual Advantage Support (HMO D-SNP) H4694-003 | Download |
| Enrollment App Anthem Full Dual Advantage 2 (HMO D-SNP) H4694-001 | Download |
| Enrollment App Anthem Full Dual Advantage (HMO D-SNP) H4694-004 | Download |
| Enrollment App Anthem Dual Advantage (HMO D-SNP) H4694-002 | Download |
Healthspring (Cigna) SC PDP Enrollment Kit
File Action HealthSpring Medicare Prescription Drug Plan 2026 Enrollment Form Download
Download All
| File | Action |
|---|---|
| HealthSpring Medicare Prescription Drug Plan 2026 Enrollment Form | Download |
Healthspring (Cigna) SC MAPD Enrollment Kit
File Action enrollment-form-sc-upstate-hmo Download enrollment-form-sc-ppo Download enrollment-form-sc-midlands-hmo Download enrollment-form-sc-low-hmo Download 2026 Medicare Advantage Plan Individual Enrollment Request Form - HMO with Part D Download
Download All
| File | Action |
|---|---|
| enrollment-form-sc-upstate-hmo | Download |
| enrollment-form-sc-ppo | Download |
| enrollment-form-sc-midlands-hmo | Download |
| enrollment-form-sc-low-hmo | Download |
| 2026 Medicare Advantage Plan Individual Enrollment Request Form - HMO with Part D | Download |