Peoples Health Choices Plus (HMO)
Eligibility and Enrollment: Online Enrollment Form
Online Enrollment Form
Use the form below to enroll in Peoples Health Choices Plus (HMO).
Medicare beneficiaries may enroll in Peoples Health Choices Plus (HMO) through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov. If you have any questions about
your eligibility to enroll in this plan or about the plan itself, please call
to speak with one of our plan representatives at
, Monday through Friday, from 8 a.m. to 8 p.m. TTY users, please call 711.
* Fields with an asterisk (*) are required.