Enrollment Packet
Advantage Plus (HMO) & Preferred Advantage (HMO) Prospective Member Packet
Download each form below to help you enroll in a Capital Health Plan Medicare plan:
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Attend one of our information sessions and you will learn:
- The basics about Medicare and your health care options
- How to enroll in Medicare
- How to enroll in a CHP Medicare Advantage (HMO) Plan
Meetings are held on the 2nd and 4th Friday of every month at 1491 Governor's Square Boulevard. Follow this link to our calendar for upcoming dates.
If you would like to receive a prospective member packet by mail or if you would like to speak to a Capital Health Plan Medicare Sales Representative, please call 850-523-7441 or 1-877-247-6512 (TTY/TDD 850-383-3534 or 1-800-955-8771), seven days a week, from 8 a.m. to 8 p.m.