Enroll by Phone

Call us toll-free today and let us help you enroll over the phone.

Voice:	1-800-429-6686
TTY:	1-877-279-0371
Hours:	8 a.m. to 8 p.m. (local time), seven days a week.

Accepted credit cards:

Enroll by Mail

For a print version. Please select your state from the drop down box below. You can mail the enrollment form to the address listed below:

RxAmerica for Medicare
Attention: Enrollment
P.O. Box 22690
Salt Lake City, UT 84122-0690

Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington DC West Virginia Wisconsin Wyoming

*For plans starting Jan. 1, 2010
Please keep a copy for your records.

The open enrollment period for 2010 plans is November 15th to December 31st. You will be able to enroll in a Part D plan between November 15th through December 31st of each year with coverage beginning January 1. Enrollment is voluntary and you must join a plan to get the coverage. However you may still be able to enroll now if you:

• Are going to turn 65 soon
• Want to switch plans If you are both Medicare and Medicaid eligible you may switch plans anytime
• Qualify for the low-income subsidy (LIS)
• Are recently disabled
• Qualify for a special election period

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November 15, 2009
Open enrollment begins for 2010 plans.

December 31, 2009
Last day to join a 2010 plan.

January 1, 2010
Coverage begins for those who join by December 31, 2009.

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