UT Healthy Advantage Message: Beginning January 1, 2020, our Healthy Advantage (HMO SNP) Plan will be consolidated into an enhanced Molina Medicare Complete Care (HMO DSNP) in Davis, Salt Lake, Utah, and Weber Counties. Existing Molina members enrolled in the Healthy Advantage (HMO SNP) Plan will automatically be enrolled into this program and no action is required to maintain coverage. Please refer to our 2020 Molina Medicare Complete Care (HMO DSNP) member materials for benefit information. Member Services agents are available at (800) 665-1328 or TTY/TTD: 711 from 8:00 am – 8:00 pm, 7 days a week to answer any questions about this transition
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.
2019 Online Enrollment Form
2019 Healthy Advantage Enrollment Instructions
2019 Healthy Advantage Enrollment Form
Following Steps 1 – 6 of the Enrollment Instructions PDF above will assist you with the enrollment process.
If you need help completing this enrollment form or have questions about plan benefits prior to enrollment, 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 is subject to approval from the Centers for Medicare & Medicaid Services (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 Healthy Advantage 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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