How to Enroll

2022 Enroll Online Now

Our plans are only available in certain places. Make sure you live in our service area.

---

Enroll By Phone

• (888) 382-9771 (877) 925-0424 (877) 561-1463 (877) 795-6120 (877) 642-3331 (877) 749-3002 (TTY 711)
   
  Daily 8 a.m. to 8 p.m. local time. Voicemail used on holidays and weekends, April 1 to September 30.

---

Enroll By Mail

2022 Medicare plans. Coverage begins Jan 1, 2022

• Midwest Enrollment Form
• Simplete Enrollment Form
• WAC Enrollment Form
• WAY Enrollment Form

To enroll during a Special Enrollment Period, include this form with your application:

• Simplete Attestation of Eligibility Form
• Midwest Attestation of Eligibility Form
• OSF Attestation of Eligibility Form
• Northwest Attestation of Eligibility Form
• Quad Attestation of Eligibility Form
• Reid Attestation of Eligibility Form
• Simplete Riverside Attestation of Eligibility Form

Mail applications to:

Application Processing Center
3310 Fields South Dr.
Champaign, IL 61822

---

Enroll In-Person

Health Alliance Connections
3301 Fields South Drive
#105
Champaign, IL 61822
8:30 a.m. to 4:30 p.m.

411 N. Chelan Ave. Suite A
Wenatchee, WA 98801
9 a.m. to 12 p.m. and 1 p.m. to 4 p.m. weekdays

1701 Creekside Loop #100, Building 11
Yakima, WA 98902
9 a.m. to 12 p.m. and 1 p.m. to 4 p.m. weekdays

Medicare beneficiaries may also enroll in Health Alliance Medicare through the CMS Medicare Online Enrollment Center located at Medicare.gov.