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 |
Wellcare SC PDP Enrollment Kit
File Action Wellcare PDP Enrollment Form Download
Download All
| File | Action |
|---|---|
| Wellcare PDP Enrollment Form | Download |
Wellcare SC MAPD Enrollment Kit
File Action MA Wellcare Enrollment Form Download
Download All
| File | Action |
|---|---|
| MA Wellcare Enrollment Form | Download |
UHC SC PDP Enrollment Kit
File Action 2026 Enrollment Request Form ¨ AARP® Medicare Rx Saver from UHC (PDP) Download 2026 Enrollment Request Form ¨ AARP® Medicare Rx Preferred from UHC (PDP) Download
Download All
| File | Action |
|---|---|
| 2026 Enrollment Request Form ¨ AARP® Medicare Rx Saver from UHC (PDP) | Download |
| 2026 Enrollment Request Form ¨ AARP® Medicare Rx Preferred from UHC (PDP) | Download |
UHC SC MAPD Enrollment Kit
File Action 2026 Enrollment Request Form ¨ UHC Nursing Home Plan SC-F001 (PPO I-SNP) H0710-053-000 Download 2026 Enrollment Request Form ¨ UHC Medicare Advantage Patriot No Rx GS-MA01 (Regional PPO) R2604-005-000 Download 2026 Enrollment Request Form ¨ UHC Dual Complete SC-V001 (PPO D-SNP) H2001-059-000 Download 2026 Enrollment Request Form ¨ UHC Dual Complete SC-S2 (PPO D-SNP) H2001-075-000 Download 2026 Enrollment Request Form ¨ UHC Dual Complete SC-S001 (PPO D-SNP) H2001-032-000 Download 2026 Enrollment Request Form ¨ UHC Complete Care Support SC-7 (PPO C-SNP) H2001-076-000 Download 2026 Enrollment Request Form ¨ UHC Complete Care Support GS-1A (Regional PPO C-SNP) R2604-002-000 Download 2026 Enrollment Request Form ¨ UHC Complete Care SC-1 (PPO C-SNP) H2001-060-000 Download 2026 Enrollment Request Form ¨ AARP® Medicare Advantage Patriot No Rx SC-MA01 (HMO-POS) H5322-043-000 Download 2026 Enrollment Request Form ¨ AARP® Medicare Advantage from UHC SC-0006 (HMO-POS) H5322-044-000 Download 2026 Enrollment Request Form ¨ AARP® Medicare Advantage from UHC SC-0005 (HMO-POS) H5322-040-000 Download 2026 Enrollment Request Form ¨ AARP® Medicare Advantage from UHC SC-0004 (PPO) H2001-108 Download
Download All
| File | Action |
|---|---|
| 2026 Enrollment Request Form ¨ UHC Nursing Home Plan SC-F001 (PPO I-SNP) H0710-053-000 | Download |
| 2026 Enrollment Request Form ¨ UHC Medicare Advantage Patriot No Rx GS-MA01 (Regional PPO) R2604-005-000 | Download |
| 2026 Enrollment Request Form ¨ UHC Dual Complete SC-V001 (PPO D-SNP) H2001-059-000 | Download |
| 2026 Enrollment Request Form ¨ UHC Dual Complete SC-S2 (PPO D-SNP) H2001-075-000 | Download |
| 2026 Enrollment Request Form ¨ UHC Dual Complete SC-S001 (PPO D-SNP) H2001-032-000 | Download |
| 2026 Enrollment Request Form ¨ UHC Complete Care Support SC-7 (PPO C-SNP) H2001-076-000 | Download |
| 2026 Enrollment Request Form ¨ UHC Complete Care Support GS-1A (Regional PPO C-SNP) R2604-002-000 | Download |
| 2026 Enrollment Request Form ¨ UHC Complete Care SC-1 (PPO C-SNP) H2001-060-000 | Download |
| 2026 Enrollment Request Form ¨ AARP® Medicare Advantage Patriot No Rx SC-MA01 (HMO-POS) H5322-043-000 | Download |
| 2026 Enrollment Request Form ¨ AARP® Medicare Advantage from UHC SC-0006 (HMO-POS) H5322-044-000 | Download |
| 2026 Enrollment Request Form ¨ AARP® Medicare Advantage from UHC SC-0005 (HMO-POS) H5322-040-000 | Download |
| 2026 Enrollment Request Form ¨ AARP® Medicare Advantage from UHC SC-0004 (PPO) H2001-108 | Download |
Devoted SC MAPD Enrollment Kit
File Action Devoted SOA Form Download Devoted New Member Getting Started Flyer Download Devoted Enrollment Receipt Download Devoted Enrollment Form Download Devoted C-SNP Verification Form Download Devoted Agent Enrollment Materials Guide Download
Download All
| File | Action |
|---|---|
| Devoted SOA Form | Download |
| Devoted New Member Getting Started Flyer | Download |
| Devoted Enrollment Receipt | Download |
| Devoted Enrollment Form | Download |
| Devoted C-SNP Verification Form | Download |
| Devoted Agent Enrollment Materials Guide | Download |
Clover SC MAPD Summary of Benefits
File Action SOB Clover Health LiveHealthy Giveback (PPO) (063) and Clover Health Valor (PPO) (056) Download SOB Clover Health LiveHealthy (PPO) (036) and Giveback 063 Download
Download All
| File | Action |
|---|---|
| SOB Clover Health LiveHealthy Giveback (PPO) (063) and Clover Health Valor (PPO) (056) | Download |
| SOB Clover Health LiveHealthy (PPO) (036) and Giveback 063 | Download |