Eligibility

You are eligible for membership in our plan as long as:

  • You have both Medicare Part A and Medicare Part B
  • You live in our geographic service area
  • You do not have End-Stage Renal Disease (ESRD), with limited exceptions. If you have ESRD but you no longer need regular dialysis or have had a successful kidney transplant, you may submit a note or records from your doctor to confirm this.

If you want to enroll in a Special Needs Plan, you will need to meet additional criteria:

  • For Central Health Medi-Medi Plan HMO SNP, Central Health Ventura Medi-Medi Plan HMO SNP, and Central Health Elite HMO SNP, you must have Medi-Cal
  • For Central Health Focus Plan HMO SNP, you must be diagnosed with Cardiovascular Disorders, Chronic Heart Failure, and/or Diabetes


How to Enroll

If you are interested in becoming a member, you have many options:

  1. Contact Member Services. Call Member Services to obtain an enrollment kit in the mail or to request a free appointment with a licensed agent who can explain our plan benefits. There is no obligation to enroll. Call Member Services toll-free at 1-866-314-2427, 7 days a week from 8:00 AM to 8:00 PM (PT). TTY/TDD users please call 1-888-205-7671.
  2. Attend a seminar to learn more. You can check our schedule of events here or call Member Services to find a seminar near you.
  3. Download the enrollment application below, and return the completed form to us by fax or mail. If you have any questions or need help completing the Enrollment Application, please call Member Services.
    Fax (626) 388-2371
    Mail Central Health Medicare Plan
    Attn: Enrollment Department
    1540 Bridgegate Drive,
    Diamond Bar, CA 91765
  4. Enroll online through the CMS Medicare Online Enrollment Center at www.medicare.gov.


2020 Enrollment Application Form

Central Health Medicare Plan (HMO), Central Health Premier Plan (HMO), or Central Health Focus Plan (HMO SNP)
(English (PDF - 696 KB))
(Spanish (PDF - 530 KB))


Central Health Medi-Medi Plan (HMO SNP)
(English (PDF - 596 KB))
(Spanish (PDF - 511 KB))


Central Health Ventura Medicare Plan (HMO) or Central Health Ventura Medi-Medi Plan (HMO SNP)
(English (PDF - 508 KB))
(Spanish (PDF - 608 KB))


Central Health Inspire (HMO) or Central Health Elite (HMO SNP)
(English (PDF - 126 KB))
(Spanish (PDF - 132 KB))

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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