Enroll by Mail or Fax

Enrolling in a Cigna Medicare plan by mail or fax is fast and easy. Simply select an English or Spanish enrollment form below, print it, fill in your information and send it to us.

Mail your completed, signed and dated enrollment form to:
Cigna Medicare Rx
P.O. Box 269005
Weston, FL 33326-9927

Or, fax to: 1-800-735-1469

You can download the Enrollment Form from the Plan Documents page.

Medicare beneficiaries may also enroll in any of the Cigna Medicare Rx Prescription Drug Plans through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.

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For more details about our online enrollment tool

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