Enrollment

To enroll in Capital Health Plan Preferred Advantage, choose one of the following options:

• Download documents from the Capital Health Plan Medicare Advantage Enrollment Packet, including the  Enrollment Form (pdf 88.05 kB) , then complete and submit by mail to Capital Health Plan, PO Box 15349, Tallahassee, Florida 32317 or in person at 1545 Raymond Diehl Rd., Tallahassee, Florida 32308.
• Call Capital Health Plan to request an enrollment packet at one of the telephone numbers listed on this page.
• Enroll electronically through the Centers for Medicare & Medicaid Services Online Enrollment Center by clicking the following link:

• Visit the Centers for Medicare & Medicaid Services Online Enrollment Center, located at http://http://www.medicare.gov/ or call 1-800-MEDICARE (1-800-633-4227) 24 hours a day, seven days a week. (TTY users should call 1-877-486-2048).
• Visit a Capital Health Plan Medicare Sales Representative at 1545 Raymond Diehl Road, Suite 300, Tallahassee, FL 32308, Monday through Friday, 8 a.m. to 5 p.m., Eastern.

Enrollment Periods

Members may enroll in the plan only during specific times of the year. Contact Capital Health Plan for more information.

• Initial Enrollment Period - Seven month period when you are first eligile at age 65 or earlier due to disability or end stage renal disease.
• Annual Election Period - October 15 through December 7 annually. Any type change is allowed. Your effective date will be January 1.
• Annual Disenrollment Period - January 1 thorugh February 14. One change from a Medicare Advantage plan with Prescription drug coverage to Original Medicare and Prescription Drug Plan is allowed. You effective date will be the first day of the month following disenrollment.

Enrollment Acknowledgement

If you enroll late in the month, you may not receive your acknowledgment letter, confirmation letter, or membership card by the day that your coverage starts. You will receive an acknowledgment letter within approximately seven days after we receive your application. If you need to fill a prescription after you receive the acknowledgment letter but before you receive your membership card, take your acknowledgment letter with you to the pharmacy.

If you need to fill a prescription and you haven't received a letter or membership card and you have both Medicare and Medicaid or have been approved for Extra Help paying for prescriptions, bring a copy of your yellow automatic enrollment letter from Medicare, a Medicaid card, an approval letter from the Social Security Administration, or other proof that you qualify for Extra Help. Let your pharmacist know your plan name.

If you are asked to pay out-of-pocket for your prescription, save your receipts and contact Capital Health Plan for reimbursement.