For Essential (PDP) and Prime (PDP) plans
Enrolling in our PDP plans is easy. First, check our frequently asked questions to see if you're eligible. Then, just choose the enrollment option that's most convenient for you:
| Give us a call |
We can take your enrollment over the phone, so just call 1-855-737-4347 (TTY/TDD 1-800-955-8771), weekdays from 8 am to 5 pm. |
| Drop in |
Come to our headquarters at 6450 US Highway 1 in Rockledge, Monday through Friday from 8 a.m. to 5 p.m. to talk with us face-to-face. |
Let us come
to you |
Call us to schedule your appointment with a Medicare Advantage Consultant and enroll in the comfort of your home (1-855-737-4347, TTY/TDD 1-800-955-8771, weekdays 8 am to 8 pm and Saturday 8 am to noon). |
| Print and mail your application |
Send it to us at: Health First Health Plans, 6450 US Highway 1, Rockledge, FL 32955.
 Enrollment request form — if you want to join the Essential or Prime plan (S0223_MP0003 CMS Approved 09152011)
Short enrollment form — if you're already a member of one of our PDP plans and want to change your coverage (for example from Essential to Prime) (S0223_MP0002 CMS Approved 09152011)
Enrollment request form — Spanish
(S0223_MP0003 CMS Aprobado 09152011)
Short enrollment form — Spanish
(S0223_MP0002 CMS Aprobado 09152011)
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| Enroll online |
Enroll online 24 hours a day, 7 days a week |
| Call Medicare |
You can also call 1-800-MEDICARE 24 hours a day, 7 days a week, and enroll over the phone. Be sure to tell them which plan you would like from Health First Medicare Plans. |
How do I pay my plan premium?
You have three options to pay your plan premium. You can indicate which option you choose on the enrollment form or short enrollment form:
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Electronic funds transfer (EFT). Your bank can automatically transfer your premium to us.
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Monthly bill. We can send you a bill and you can send us a check. If you choose to pay by check please remember to include it with your enrollment or short enrollment form.
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Have it withheld from your Social Security benefit check. (Note: If you decide to have your plan premium withheld it from your Social Security benefit check or move from withhold to direct bill, it could take up to three months for it to take effect and you will be ultimately be held responsible for those premiums.)
If you want to sign up for Electronic Funds Transfer (EFT) to automatically withdraw your premium from your bank account, please complete this form and send it to us:
Automatic Payment Form (S0223_EL0101 File and Use 11202011)
Health First Health Plans
6450 US Highway 1
Rockledge, FL 32955
S0223_MP0018 CMS Approved 10202011
Last updated: 2/15/2012
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