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Medicare Plans — How to enroll (2012)

For Rewards, Value, Classic, and Secure plans

Enrolling in our MA-PD and MA plans is easy. First, check our frequently asked questions to see if you're eligible. Then, just choose the enrollment option that's most convenient for you:

Visit a seminar

Our Medicare Advantage Consultants will be there to explain our benefits and help you fill out an enrollment form.

Give us a call We can take your enrollment over the phone, so just call 321-434-5665, 1-800-716-7737 (TTY/TDD 1-800-955-8771), weekdays from 8 a.m. to 5 p.m.
Drop in Come to our headquarters at 6450 US Highway 1 in Rockledge, Monday through Friday from 8 a.m. to 5 p.m. to talk with us face-to-face.
Let us come
to you
Call us to schedule your appointment with a Medicare Advantage Consultant and enroll in the comfort of your home (321-434-5665, 1-800-716-7737, TTY/TDD 1-800-955-8771, weekdays 8 am to 8 pm and Saturday 8 am to noon).
Print and mail your application

Send it to us at: Health First Health Plans, 6450 US Highway 1, Rockledge, FL 32955.

  •  Enrollment request form — if you want to join Health First Medicare Plans (H1099_MP2623 CMS Approved 09082011)
  •  Plan selection form — if you're already a member of Health First Medicare Plans and want to change your coverage (for example from Value to Classic) (H1099_EL2624 File and Use 09122011)
Enroll online Enroll online 24 hours a day, 7 days a week 
Call Medicare You can also call 1-800-MEDICARE 24 hours a day, 7 days a week, and enroll over the phone. Be sure to tell them which plan you would like from Health First Medicare Plans.

How do I pay my plan premium?

If your plan has a premium and you decide to have it withheld it from your Social Security benefit check or move from withhold to direct bill, it could take up to three months for it to take effect and you will be ultimately be held responsible for those premiums. You can select this option on the enrollment or plan option change form.

You can also pay by electronic funds transfer (EFT) or credit card (details are included on the form below), or by check (if you choose to pay by check please remember to include it with your Enrollment or Plan Option Change form).

 Automatic payment form 
(H1099_EL2647 File and Use 03142012)

Note for Employer Groups: If your employer (or former employer) offers Health First Medicare Plans as part of their employee or retiree benefits, check with them for details on how and when to enroll. They may prefer you send your completed enrollment form (and premium payment if necessary) to them. If they ask you to contact us directly to enroll, please follow the instructions listed above.


H1099_MP2760 CMS Approved10212011
Last updated: 5/10/2012