How to Enroll

Thank you for your interest in becoming a member with Allwell from Sunshine Health. We are excited for you to join us!

There are three (3) ways to enroll:

Online

By Phone

Call 1-877-826-3692 (TTY: 711)  

By Mail or Fax

Download and print your enrollment application. Once you fill it out, mail it or fax it to us. If you need help, call us to speak to a licensed sales agent. 

Paper Application Instructions

  1. Download and print the below application for your state
  2. Please fill out all 7 pages of the application.
  3. Check either YES or NO box for items 1 through 5 on pages 2 and 3.
  4. Enter your Primary Care Physician's name.
  5. Sign and date the enrollment application for Allwell on page 5.
  6. Check any box on page 6 that applies to you.
  7. Submit your application via mail or fax.

Paper Application Submission Options

Mail Your Application

Send your application to:

Medicare Enrollment Department
P.O. Box 2020
Farmington, MO 63640-2011

Fax Your Application

Fax your application to:

1-844-222-3180

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

Last Updated: 02/08/2017
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