Brand new name, same great care!
Starting January 1, 2020, Molina Medicare Options Plus (HMO SNP) will be called Molina Medicare Complete Care (HMO SNP). Even though the name is changing, Molina will continue to provide the same great care because you’re important to us!
Please follow the instructions and complete the Enrollment Form, today. We encourage you to read the
Summary of Benefits before completing an Individual Enrollment Request form.
2020 Online Enrollment Form
2020 Enrollment Instructions
2020 Enrollment Form (Los Angeles, Riverside, San Bernardino and San Diego)
2020 Enrollment Form (Imperial)
Following Steps 1 – 5 of the Enrollment Instructions PDF above will assist you with the enrollment process.
If you need help completing this enrollment form or prior to enrollment have questions about plan benefits, please call us Toll Free: (866) 403-8293, TTY/TDD: 711, Monday to Saturday, 8:00 a.m. to 8:00 p.m. local time. Molina Medicare determines when your Enrollment Form is considered to be complete based on Medicare enrollment guidelines. The Enrollment Form is subject to approval from CMS. If your enrollment is not accepted by CMS, we will notify you immediately.
CMS Medicare Online Enrollment Center
Medicare beneficiaries may also enroll in the Molina Medicare Options Plus plan through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
*Printed copies of information posted on our website are available upon request.
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