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Liberty Health Advantage HMO

1 Huntington Quadrangle
Suite 3N01
Melville, NY 11747
Phone: (866) 542-4269
TTY: (800) 662-1220
Office Hours: 8:00 a.m. - 6:00 p.m.

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Enrollment

Download a 2014 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

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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 2014 Website Approved 01/03/2014

Last Modified: Sun, September 18, 2011 14:44:28