You are eligible for membership in our plan as long as:
If you want to enroll in a Special Needs Plan, you will need to meet additional criteria:
If you are interested in becoming a member, you have many options:
Fax | (626) 388-2371 |
Central Health Medicare Plan Attn: Enrollment Department 1540 Bridgegate Drive, Diamond Bar, CA 91765 |
2019 Enrollment Application Form
Central Health Medicare Plan (HMO), Central Health Premier Plan (HMO), or Central Health Focus Plan (HMO SNP)
(English (PDF - 150 KB))
(Spanish (PDF - 150 KB))
Central Health Medi-Medi Plan (HMO SNP)
(English (PDF - 124 KB))
(Spanish (PDF - 132 KB))
Central Health Ventura Medicare Plan (HMO) or Central Health Ventura Medi-Medi Plan (HMO SNP)
(English (PDF - 117 KB))
(Spanish (PDF - 131 KB))
Central Health Inspire (HMO) or Central Health Elite (HMO SNP)
(English (PDF - 126 KB))
(Spanish (PDF - 132 KB))
Central Health Prestige (HMO)
(English (PDF - 129 KB))
(Spanish (PDF - 132 KB))
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