Enrollment
Complete Your Enrollment Online
Online enrollment is easy. Simply click the Enroll Online button above to complete an enrollment application. You will be prompted to enter your information step by step, safely and securely.
Download An Enrollment Form
If you prefer to complete a paper form, download an enrollment application for your chosen CDPHP Medicare plan. Follow the instructions included with the form. Complete the form and mail or fax to CDPHP.
Enrollment Dates
CDPHP cannot process enrollments before November 15, 2007. The Annual Election Period occurs November 15, 2007 through December 31, 2007. During this time, eligible individuals may enroll in or change Medicare Advantage or Prescription Drug Plans. Coverage will be effective January 1, 2008.
If you decide to mail in your enrollment application in prior to November 15, 2007, CDPHP will retain your application and begin processing it on November 15, 2007. You will receive acknowledgement letters from CDPHP when your application is processed, along with a confirmation letter and ID cards from CDPHP when your application is approved by the federal government.
You may only enroll in one Medicare Advantage Plan at a time and you may join or leave a Medicare Advantage Plan at certain times of the year.
Disenrollment - Leaving The Plan
"Disenrollment" means ending your membership in CDPHP Medicare Plans. View your plan's Evidence of Coverage for the rules that apply and information on your Medicare coverage choices after you leave.
Potential for Contract Termination
All CDPHP Medicare Plans agree to stay in the Medicare program for a full year at a time. Each year, CDPHP decides whether to continue for another year. If CDPHP decides not to continue, we must send you a letter at least 90 days before your coverage will end, and you will have to change to another way of getting your Medicare benefits. The letter will explain your options for Medicare coverage in your area, and your options will always include Original Medicare. All of the benefits and rules you had under CDPHP will continue until your membership with CDPHP ends.
Additional Help for Low Income Beneficiaries
You may be one of the millions of beneficiaries who will qualify for reduced premiums and increased cost sharing. Additional support may be available depending on your situation (taking into consideration your assets, savings and stocks, but not including the value of your home). For more information about this support, call 1-800-MEDICARE (1-800-633-4227) or your local Social Security office.
You may wish to view the Low Income Subsidy Website Premium Summary Table for Those Receiving Extra Help. This document informs potential enrollees of what their plan premium will be once they are eligible and receive the low-income subsidy.
