To enroll online, please go through the Centers for Medicare & Medicaid Services Online Enrollment Center.  Click here to download a printable copy of the enrollment form. Please follow the instructions on the form to apply. We encourage you to read the Summary of Benefits before completing an enrollment form.

If you need help enrolling, please contact Molina Medicare at 1-866-403-8293 (TDD/TTY: 1-800-346-4128) Monday – Sunday, 8:00AM to 8:00PM local time.

*Paper copies of information posted on our web site are available upon request.

Molina Healthcare, a health plan with a Medicare contract, offers Molina Medicare Options, SmartSaver, Healthy Advantage, ChoicePartners Medicare, Medicare Advantage Prescription Drug plans (MAPD), and Molina Medicare Options Plus, and Healthy Advantage, Medicare Advantage Prescription Drug Special Needs Plans (MAPD-SNP).  

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