Enroll Now!

When Can I Enroll?

You have several options for enrollment

Option 1

Download and complete an application and send it to us via mail or fax.
2017 Enrollment Form
2017 Inscripción
Application Instructions
Instrucciones Para Inscripción
Multi-language Interpreter Services

Option 2

Enroll Online Now

Option 3

Medicare beneficiaries may also enroll in Liberty Health Advantage through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.

Option 4

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

Contact Information

Member and Provider Services

Sales Representative

Hours: 8:00AM to 8:00PM
Monday through Sunday

From February 15th through September 30th, hours are Monday - Friday only

Enrollment

Download an 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?
Picture of an Operator

Liberty Health Advantage HMO is an HMO Plan with a Medicare Advantage contract and a contract with the New York State Medicaid program. Enrollment in Liberty Health Advantage HMO depends on contract renewal.

H3337 2017 Website Pending

Last Modified: Fri, June 30, 2017 14:33:11