Medicare information kit request

Interested in HealthPartners UnityPoint Health (PPO) Medicare plans? Fill out the form below and we’ll send you an information kit with details about our plans. Packets will be delivered by U.S. mail.

Contact information

(Providing contact information is optional. Enter your email address to receive a confirmation email after ordering your information kit.)

First Name

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Email Address Your email address will be used to send a confirmation email. Check the box below to receive additional email communications.

Email me helpful information about Medicare and HealthPartners UnityPoint Health plans

Phone number By providing your phone number, you agree to have a sales representative contact you to discuss your HealthPartners UnityPoint Health plan options.

Street Address

Apartment #

City

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ZIP Code

When do you plan to enroll in Medicare? Or when did you first enroll?

Month

Year

I'm interested in learning more about: Medicare 101 Choosing a plan Switching plans HealthPartners UnityPoint Health plan information Drug coverage

How can we help you?

From Oct. 1 through Feb. 14, we take calls from 8 a.m. to 8 p.m. CT, seven days a week. You’ll speak with a representative. From Feb. 15 to Sept. 30, call us 8 a.m. to 8 p.m. CT, Monday through Friday to speak with a representative. On Saturdays, Sundays and Federal holidays, you can leave a message and we’ll get back to you within one business day.

This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments and restrictions may apply. Benefits, premiums and/or copayments/coinsurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. The formulary, pharmacy network and/or provider network may change at any time. You will receive notice when necessary.

HealthPartners UnityPoint Health is a PPO plan with a Medicare contract. Enrollment in HealthPartners UnityPoint Health depends on contract renewal.

Last updated June 2018
H3416_111167 Approved