Generations Advantage Online Enrollment Form 2024

Step 1 of 8. Plan Selection
  • Plan Selection
  • Contact Information
  • Medicare Insurance
  • Primary Care Physician
  • Enrollment Eligibility
  • Payment Method
  • Summary
  • Confirmation
Monthly Premium
Part B Reduction

Plan Selection * Required Fields

Who is completing this application?*

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Talk to a health benefits specialist: Available 8am–8pm, Monday to Friday. From October 1 to March 31, we’re here 7 days a week, & Monday to Friday the rest of the year.

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(TTY: 711)

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