A Healthy CollaborationSM

How to Enroll in Today’s Options® PPO

The Annual Enrollment Period for coverage in 2009 has ended, but you can still enroll if you meet certain criteria.

If you have questions about your enrollment eligibility, please call 1-866-724-3436 (TTY for the hearing impaired: 1-800-958-2692)  8 AM to 8 PM, in your local time zone 7 days a week, to see if you are eligible to enroll.

Before you enroll, make sure you have your Medicare card with you. Also, if you plan on paying your monthly plan premium with an automatic deduction from your bank account, have your bank information available. You will also need to select a Primary Care Physician from the Provider Directory or you may use our online healthcare provider look-up tool on the Web site.

Prior to completing the enrollment form, please read the enrollment disclaimer information.

You can enroll in several ways:

  1. Enroll online by submitting our secure online form.

  2. Or, download a printable enrollment form to mail to us:


  3. Or, talk to a licensed agent and enroll using a paper application.

  4. Or, call a Customer Service Representative at 1-866-724-3436 (TTY for the hearing impaired: 1-800-958-2692) 8 AM to 8 PM, in your local time zone 7 days a week, to enroll over the phone.

M0018_TOPPO_209 Pending CMS Approval Last updated: 4/1/2022

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