To submit the AARP Medicare Advantage Enrollment Request Form for 2024, ensure all fields are completed accurately. You can submit the form via the following methods: Email it to customerservice@aarpmedicareplans.com, Fax it to 1-888-232-3203, or Mail it to AARP Medicare Plans, P.O. Box 30769, Salt Lake City, UT 84130-0769. For online submissions, visit the AARP Medicare Plans website and follow the instructions for electronic form submission. Ensure you keep a copy of the submitted form for your records. My advice is to double-check all entered information for accuracy and completeness before submission to avoid delays.

The AARP Medicare Advantage Enrollment Request Form for 2024 should be submitted during the enrollment period, typically between October 15 and December 7, 2023. Make sure to review any specific deadlines that may apply to your situation for timely submission.

The AARP Medicare Advantage Enrollment Request Form for 2024 is used to enroll individuals in the AARP Medicare Advantage plan. This form collects necessary personal, contact, and Medicare information to facilitate the enrollment process. Accurate completion of this form ensures that applicants receive their coverage without delays. By filling out this form, applicants provide essential details such as their name, address, Medicare number, and preferred payment methods. It also includes sections to indicate any additional health or prescription drug coverage, primary care provider information, and language or format preferences. This comprehensive information helps streamline the enrollment process and ensures that enrollees receive the support and services they need. Furthermore, the form enables applicants to choose how they would like to receive communications and plan information. It offers options for electronic delivery or hard copies, allowing enrollees to select the format that best suits their needs. Completing the AARP Medicare Advantage Enrollment Request Form accurately and thoroughly is crucial for a successful enrollment experience.

• 1. Last name: Your family name as it appears on official documents.
• 2. First name: Your given name as it appears on official documents.
• 3. Middle initial: The initial of your middle name, if applicable.
• 4. Birth date: Your date of birth in mm/dd/yyyy format.
• 5. Sex: Your gender, either male or female.
• 6. Home phone number: Your primary contact number, including area code.
• 7. Mobile phone number: Your secondary contact number, including area code.
• 8. Medicare number: Your unique Medicare identification number.
• 9. Permanent residence street address: Your current, permanent address (P.O. box is not allowed).
• 10. City: The city of your permanent residence.
• 11. County: The county of your permanent residence.
• 12. State: The state of your permanent residence.
• 13. ZIP code: The postal code of your permanent residence.
• 14. Mailing address: Your mailing address, if different from your permanent residence (P.O. box allowed).
• 15. Email address: Your email address for communication (optional).
• 16. Other insurance: Indicate if you have other insurance that will cover your prescription drugs.
• 17. Payment preferences: Choose your preferred payment method for premiums, including automatic deductions or direct payments.
• 18. Language or format preference: Select your preferred language or format for receiving plan information.
• 19. Race: Indicate your race by selecting all that apply.
• 20. Primary care provider: Provide the name and details of your primary care provider, clinic, or health center.

Failure to submit the AARP Medicare Advantage Enrollment Request Form may result in a delay or denial of your Medicare Advantage coverage. It is crucial to ensure that all fields are completed accurately and the form is submitted within the specified deadlines.

• Delay in Coverage: Without timely submission, you may experience delays in receiving your Medicare Advantage coverage.
• Denial of Enrollment: Failure to submit the form accurately and on time may result in denial of your enrollment request.
• Missed Benefits: Not submitting the form could lead to missing out on important benefits offered by the AARP Medicare Advantage plan.

• 1. Annual Enrollment: Use this form during the annual enrollment period to enroll in or make changes to your Medicare Advantage plan.
• 2. New Enrollees: First-time enrollees in the AARP Medicare Advantage plan need to complete this form.
• 3. Changing Plans: If you are switching from another Medicare Advantage plan, use this form to enroll in AARP Medicare Advantage.
• 4. Updating Information: Use the form to update personal or Medicare information.
• 5. Special Enrollment Periods: If you qualify for a special enrollment period due to life changes, this form may be required.