Sales:1-877-485-5595 (TTY - 711) Toll-Free

Customer Services: Call Us

Enrollment Application 2027

Click here to 2026 Enrollment Application

You can enroll in a Preferred Care Partners plan RIGHT NOW by doing the following:

1. Download, print and complete form with signature:

UHC Preferred Medicare Advantage FL-0001 (HMO)

UHC Preferred Medicare Advantage FL-0002 (HMO)

UHC Preferred Dual Complete FL-QV4 (HMO D-SNP)

UHC Preferred Complete Care FL-0003 (HMO C-SNP)

UHC Preferred Medicare Advantage FL-002P (HMO)

UHC Preferred Dual Complete FL-QV1P (HMO D-SNP)

UHC Preferred Dual Complete FL-QV5 (HMO D-SNP)

UHC Preferred Dual Complete FL-Y6 (HMO-POS D-SNP)

UHC Preferred Dual Complete FL-Y3P (HMO-POS D-SNP)

Need Assistance Completing This Form?

  • UHC Preferred Medicare Advantage FL-0001 (HMO)
    UHC Preferred Medicare Advantage FL-0002 (HMO)
    UHC Preferred Medicare Advantage FL-002P (HMO)
    • Phone

      Phone

      1-844-723-6470 (TTY -711) Toll-Free

    • Fax

      Fax

      1-888-950-1170

    • Office Hours

      Office Hours

      8 a.m. to 8 p.m. 7 days a week

  • UHC Preferred Complete Care FL-0003 (HMO C-SNP)
    • Phone

      Phone

      1-855-548-1564 (TTY -711) Toll-Free

    • Fax

      Fax

      1-888-950-1170

    • Office Hours

      Office Hours

      8 a.m. to 8 p.m. 7 days a week

  • UHC Preferred Dual Complete FL-QV4 (HMO D-SNP)
    UHC Preferred Dual Complete FL-QV1P (HMO D-SNP)
    UHC Preferred Dual Complete FL-QV5 (HMO D-SNP)
    UHC Preferred Dual Complete FL-Y6 (HMO-POS D-SNP)
    UHC Preferred Dual Complete FL-Y3P (HMO-POS D-SNP)
    • Phone

      Phone

      1-855-874-6282 (TTY -711) Toll-Free

    • Fax

      Fax

      1-888-950-1169

    • Office Hours

      Office Hours

      8 a.m. to 8 p.m. 7 days a week

Or you can:

2. Enroll online by completing and submitting your enrollment form electronically!

  • Enroll Online

    Website

    Enroll online by completing and submitting your enrollment form electronically!

    www.medicare.gov

Notice

We use cookies and similar tools to make your use of this website easy and to keep it working properly. We may share data about you and how you use the site with third parties, such as analytics and marketing partners. Learn more in our Privacy Policy and Terms of Use. By continuing to use the site, you agree to this.