Generations Advantage Online Enrollment 2025

Typically, you may enroll in a Medicare Advantage plan only during Medicare’s Annual Enrollment Period from October 15 through December 7 of each year. There are exceptions that may allow you to enroll in a Medicare Advantage plan outside of this period.

Please read the following statements carefully and check the box if the statement applies to you. By checking any of the following boxes you are certifying that, to the best of your knowledge, you are eligible for one of Medicare's enrollment periods. If we later determine that this information is incorrect, you may be disenrolled.

Annual Enrollment Period

Initial Enrollment Period & other new to Medicare situations

Medicare Advantage Plan Open Enrollment Period

Special Enrollment Periods

Other

I am enrolling in a 5-Star plan during the 5-Star Special Enrollment Period December 8, 2024 through November 30, 2025.

I was affected by a weather-related emergency or major disaster as declared by either my local, state, or federal government. One of the other statements here applied to me, but I was unable to make my enrollment because of the natural disaster.

If none of these statements applies to you or you’re not sure, please contact Martin’s Point Generations Advantage at 1-888-408-8285 (TTY users should call 711 number) to see if you are eligible to enroll. We are available 8 am–8 pm, seven days a week from October 1 to March 31; and Monday through Friday the rest of the year.

Has your doctor or other licensed professional diagnosed you with diabetes?*

Yes

Have you had problems with high blood sugar?*

Yes

Do you take medication and/or have you been put on a special diet to control your blood sugar?*

Yes

Health care provider(s) who can confirm your chronic condition:

Provider #1

First Name*

Last Name*

Street Address* PO Box is not allowed.

City*

State*

Zip Code*

Phone Number

Fax Number

Provider #2 (if applicable)

First Name

Last Name

Street Address PO Box is not allowed.

City

State

Zip Code

Phone Number

Fax Number

Please Read this Important Information

If you currently have health coverage from an employer or union, joining Martin’s Point Generations Advantage could affect your employer or union health benefits. You could lose your employer or union health coverage if you join Martin’s Point Generations Advantage.

Read the communications your employer or union sends you. If you have questions, visit their website, or contact the office listed in their communications. If there isn’t any contact information, your benefits administrator or the office that answers questions about your coverage can help.

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Generations Advantage Online Enrollment Form 2025

Step 1 of 8. Just a few minutes away from being insured!

Certify Your Eligibility For An Enrollment Period * Required Fields