Enroll by Mail or Fax

Enrolling in a Cigna Medicare plan by mail or fax is fast and easy.

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

Mail your completed enrollment form to:

Cigna Medicare Services
Attn: Enrollment & Eligibility
25500 N. Norterra Drive
Phoenix, AZ 85085

Or, fax your complete, signed and dated enrollment form to: 1-866-275-1365

You may be enrolled in only one Medicare Advantage Plan at a time and as a member of one of our Cigna Medicare plans, you must receive your prescription drug benefit through Cigna. Limitations, copayments and restrictions may apply.

Medicare beneficiaries may also enroll in the Cigna Medicare Select Plus Rx Plan through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.

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By Phone

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For more details about our online enrollment tool

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