How to change plans

To enroll in a different Providence Medicare Advantage Plan follow the steps below:

  1. Print the plan change form:
  2. Complete the form.
  3. Mail to Providence Medicare Advantage Plans at:
    Providence Medicare Advantage Plans
    P.O. Box 5548
    Portland, OR 97228-5548

    Or

    fax to 503-574-8607

You will receive a notice in the mail acknowledging receipt of the completed plan change or a request for additional information if the form is not complete.

When can I change plans?

Members may enroll in a plan during the 2019 Annual Enrollment Period from October 15 through December 7. Beneficiaries have the option of changing plans, adding or dropping Part D Coverage. Contact Customer Service for details.

The 2019 Open Enrollment period is from January 1 to March 31, 2019. During this time, members may enroll in another Medicare Advantage plan, or disenroll from their Medicare Advantage plan and return to Original Medicare. Individuals may make only one election during the Open Enrollment period.

Optional supplemental coverage 

Members may elect to purchase optional supplemental dental coverage up to 60 days after their effective date.

Follow these steps to add optional supplemental coverage:

  1. Print the supplemental dental application: 
  2. Complete the form.
  3. Mail to Providence Medicare Advantage Plans at:
    Providence Medicare Advantage Plans
    P.O. Box 5548 Portland, OR 97228-5548

    Or

    fax to 503-574-8607

Providence Medical Advantage Plans' contract with CMS is renewed annually and the availability of coverage beyond the end of the current contract year is not guaranteed.

This information is not a complete description of benefits. Call 1-800-603-2340 TTY: 711 for more information.