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Eligibility

You are eligible for membership in our plan as long as:

  • You have both Medicare Part A and Medicare Part B
  • You live in our geographic service area
  • You do not have End-Stage Renal Disease (ESRD), with limited exceptions. If you have ESRD but you no longer need regular dialysis or have had a successful kidney transplant, you may submit a note or records from your doctor to confirm this.

If you want to enroll in a Special Needs Plan, you will need to meet additional criteria:

  • For Central Health Medi-Medi Plan HMO SNP and Central Health Ventura Medi-Medi Plan HMO SNP, you must have Medi-Cal
  • For Central Health Focus Plan HMO SNP, you must be diagnosed with Cardiovascular Disorders, Chronic Heart Failure, and/or Diabetes
  • For Central Health Advance Plan HMO SNP, you must live in a nursing home or live at home but require the same level of care as those who live in a nursing home


How to Enroll

If you are interested in becoming a member, you have many options:

  1. Contact Member Services. Call Member Services to obtain an enrollment kit in the mail or to request a free appointment with a licensed agent who can explain our plan benefits. There is no obligation to enroll. Call Member Services toll-free at 1-866-314-2427, 7 days a week from 8:00 AM to 8:00 PM (PT). TTY/TDD users please call 1-888-205-7671.
  2. Attend a seminar to learn more. You can check our schedule of events here or call Member Services to find a seminar near you.
  3. Download the enrollment application below, and return the completed form to us by fax or mail. If you have any questions or need help completing the Enrollment Application, please call Member Services.
    Fax (626) 388-2371
    Mail Central Health Medicare Plan
    Attn: Enrollment Department
    1540 Bridgegate Drive,
    Diamond Bar, CA 91765
  4. Enroll online through the CMS Medicare Online Enrollment Center at www.medicare.gov.


2018 Enrollment Application Form

Central Health Medicare Plan (HMO), Central Health Premier Plan (HMO), or Central Health Focus Plan (HMO SNP)
(English (PDF - 607 KB))
(Spanish (PDF - 530 KB))


Central Health Medi-Medi Plan (HMO SNP)
(English (PDF - 596 KB))
(Spanish (PDF - 511 KB))


Central Health Ventura Medicare Plan (HMO) or Central Health Ventura Medi-Medi Plan (HMO SNP)
(English (PDF - 508 KB))
(Spanish (PDF - 608 KB))


2018 Enrollment Instructions

Central Health Medicare Plan (HMO), Central Health Premier Plan (HMO), or Central Health Focus Plan (HMO SNP)
(English (PDF - 78 KB))
(Spanish (PDF - 35 KB))


Central Health Medi-Medi Plan (HMO SNP)
(English (PDF - 35 KB))
(Spanish (PDF - 37 KB))


Central Health Ventura Medicare Plan (HMO) or Central Health Ventura Medi-Medi Plan (HMO SNP)
(English (PDF - 76 KB))
(Spanish (PDF - 31 KB))


2017 Enrollment Application Form

Central Health Medicare Plan (HMO), Central Health Premier Plan (HMO), or Central Health Focus Plan (HMO SNP)
(English (PDF - 3,412 KB))
(Spanish (PDF - 3,224 KB))


Central Health Medi-Medi Plan (HMO SNP)
(English (PDF - 585 KB))
(Spanish (PDF - 579 KB))


Central Health Advance Plan (HMO SNP)
(English (PDF - 560 KB))
(Spanish (PDF - 556 KB))


Central Health Ventura Medicare Plan (HMO) or Central Health Ventura Medi-Medi Plan (HMO SNP)
(English (PDF - 2,083 KB))
(Spanish (PDF - 2,618 KB))


Central Health Ventura Premier Plan (HMO)
(English (PDF - 579 KB))
(Spanish (PDF - 579 KB))



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