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Medicare information kit request form

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.)

 

 

 

 

 

Address

 

 

 

 

 

 

 

By providing your phone number or email above, you are agreeing to have a sales representative contact you.

 

 

 

From October 1 through February 14, we take calls from 8 a.m. to 8 p.m., CT, seven days a week. You’ll speak with a representative. From February 15 to September 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 October 2017
H3416_105827 Approved 
 

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