Enroll Now!

When Can I Enroll?

You have several options for enrollment

Option 1

Have Liberty Health Advantage contact you.

Option 2

Download and complete an application and send it to us via mail or fax.
2013 Enrollment Form
2013 Inscripción
Application Instructions
Instrucciones Para Inscripción
Multi-language Interpreter Services

Option 3

Enroll Online Now

Option 4

Enroll online with 1-800-MEDICARE's Online Enrollment Center.

Option 5

Speak to a Liberty Representative live right now Click to Call.

Need Help?

Contact Information

Member Services

Enrollment Representative

Enrollment

Download a 2013 Enrollment Form

You may download, complete, sign and date an enrollment form. Application Instructions

Once you have completed the form please fax it to:

1-631-227-3484

Or mail it to:

Liberty Health Advantage
1 Huntington Quadrangle
Suite 3N01
Melville, NY 11747

What would you like to do now?
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Liberty Health Advantage HMO is a Coordinated Care Plan with a Medicare Advantage contract and a contract with the New York State Medicaid program.

H3337_LHA_MARK_1227 CMS Pending

Last Modified: Fri, May 03, 2013 16:34:27