|
Feel free to:
1) Enroll online via our secure application process
2) Contact us for help in enrolling over the phone or email:
| |
(503) 345-5701
(866) 225-CARE (2273)
TTY (800) 735-2900
Email : medicaresales@familycareinc.org
Monday - Friday, 8 a.m. to 8 p.m. |
3) Download and fill out this enrollment form and mail it to:
| |
FamilyCare Health Plans
825 NE Multnomah, Suite 300
Portland, Oregon 97232 |
- NOTE: If you mail us your enrollment form, please provide (if applicable) a copy of your:
- Medicare card
- LIS letter
- OMAP ID card
- Notice of Credible Coverage
Once FamilyCare has received your enrollment form:
- We will verify your enrollment.
- We will call you and let you know you've been accepted.
- We will send you a Confirmation of Enrollment Letter and a New Member Packet.
|