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Enroll For Medicare Advantage On Line Click NEXT for step-by-step instructions to apply for Medicare Advantage from United Healthcare in Texas or Indiana. NEXT

Enroll For Medicare Advantage On Line Click NEXT for step-by-step instructions to apply for Medicare Advantage from United Healthcare in Texas or Indiana

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Page 1: Enroll For Medicare Advantage On Line Click NEXT for step-by-step instructions to apply for Medicare Advantage from United Healthcare in Texas or Indiana

Enroll For Medicare Advantage On LineClick NEXT for step-by-step instructions to apply for Medicare Advantage from United Healthcare in Texas or Indiana.

NEXT

Page 2: Enroll For Medicare Advantage On Line Click NEXT for step-by-step instructions to apply for Medicare Advantage from United Healthcare in Texas or Indiana

STEP 1

Click the icon below to start the enrollment process.

NEXT

Page 3: Enroll For Medicare Advantage On Line Click NEXT for step-by-step instructions to apply for Medicare Advantage from United Healthcare in Texas or Indiana

STEP 2

Click the button to enroll in Medicare Advantage.

NEXT

Page 4: Enroll For Medicare Advantage On Line Click NEXT for step-by-step instructions to apply for Medicare Advantage from United Healthcare in Texas or Indiana

STEP 3

Enter your ZIP code to find the plan that is available in your area.

Remember, this option is only available for residents of Texas and Indiana. If you live in another state, you need to locate a local insurance professional to help.

NEXT

Page 5: Enroll For Medicare Advantage On Line Click NEXT for step-by-step instructions to apply for Medicare Advantage from United Healthcare in Texas or Indiana

STEP 4

Review and select the plan that best meets your health care needs for 2013.

NEXT

Page 6: Enroll For Medicare Advantage On Line Click NEXT for step-by-step instructions to apply for Medicare Advantage from United Healthcare in Texas or Indiana

STEP 5

Scroll down to answer the question about End Stage Renal Disease and click the gold button, “NEXT STEP.”

NEXT

Page 7: Enroll For Medicare Advantage On Line Click NEXT for step-by-step instructions to apply for Medicare Advantage from United Healthcare in Texas or Indiana

STEP 6

Enter your Medicare information and click the gold “NEXT STEP” button.

HINT: You will need your Medicare card in order to complete this page.

NEXT

Page 8: Enroll For Medicare Advantage On Line Click NEXT for step-by-step instructions to apply for Medicare Advantage from United Healthcare in Texas or Indiana

STEP 7

Answer the questions on the page. The last question asks for an agent number. Enter

2054846

After you have answered all the questions and entered the number above, click the gold button, “NEXT STEP.”

NEXT

Page 9: Enroll For Medicare Advantage On Line Click NEXT for step-by-step instructions to apply for Medicare Advantage from United Healthcare in Texas or Indiana

STEP 8

Review your application. Make certain that you have provided correct and complete information. Also, make certain that you have applied for the plan that best meets your needs.

After you have reviewed your application, if it is acceptable, click the gold “NEXT STEP” button at the bottom of the page. NEXT

Page 10: Enroll For Medicare Advantage On Line Click NEXT for step-by-step instructions to apply for Medicare Advantage from United Healthcare in Texas or Indiana

STEP 9

Answer the final two questions and click the gold “SUBMIT APPLICATION” button.

NEXT

Page 11: Enroll For Medicare Advantage On Line Click NEXT for step-by-step instructions to apply for Medicare Advantage from United Healthcare in Texas or Indiana

STEP 10

Use the form below to let us know that you have submitted an application. We want to make certain your experience is as good as possible but we won’t know about your application unless you tell us about it.

You can also use the form to ask us any questions you may have.


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