Who is eligible?
There are a few eligibility requirements for Plans A, F, High Deductible F and N:
- You must currently be 65 or older and enrolled in Medicare Parts A and B.
- You need to be a Washington state resident (excluding Clark County).
- You may only be enrolled in one Medicare Supplement plan at a time.
- Medicare Supplement plans cannot take effect if you have an active Medicare Advantage Plan.
Apply Online
It's fast and easy. Get started
Apply by Phone
Call us. We can help you apply. 1-800-752-6663
Apply through your Producer
Producers can answer questions you may have about Medicare Supplement and help you find the plan that is right for you.
Apply by Mail
Download, complete, sign and mail in this form to the address at the top of the form. Enrollment form (.pdf)
Additional Forms
Do you need to replace your current Medicare Supplement or Medicare Advantage coverage? Download and complete the Medicare Supplement Replacement Notice (.pdf)
Make your monthly payments easier and save $5 per month by signing up for automatic funds transfer Medicare Supplement Automatic Transfer Form (.pdf)