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There are 5 ways for Medicare beneficiaries to enroll in Keystone First VIP Choice (HMO SNP).

Pick the way you prefer:

Online

Fill out and submit the online enrollment form (Opens in a new window).        

Need help?
Use step-by-step online form instructions.

By phone

Call and enroll over the phone with 1 of our representatives at our toll free number:
1-855-241-3648 (TTY/TDD 711)

7 days a week,  8 a.m. to 8 p.m. (October 1 - February 14) and Monday - Friday,  8 a.m. to 8 p.m. (February 15 - September 30).

Home visit

Call and schedule an appointment for a home visit with 1 of our representatives at our toll free number:
1-855-241-3648 (TTY/TDD 711),

7 days a week,  8 a.m. to 8 p.m. (October 1 - February 14) and Monday - Friday,  8 a.m. to 8 p.m. (February 15 - September 30).

By mail

Download and print the enrollment form (Opens in a new window) (PDF) and Attestation of Eligibility for an Election Period (Opens in a new window) (PDF). Complete the form in full, sign it, date it, and mail the completed form to:

Keystone First VIP Choice — Enrollment
P.O. Box 851677
Richardson, TX 75085-1677

Download and print enrollment instructions

CMS online enrollment center

Medicare beneficiaries may also enroll in Keystone First VIP Choice through the CMS Medicare Online Enrollment Center located at Medicare.gov (Opens in a new window).

At Keystone First VIP Choice (HMO SNP), your health comes first. So when you're ready to choose a Medicare Advantage special needs plan — for yourself or a loved one — we're here to help. We know that understanding Medicare can be a challenge.

If you're a Pennsylvania resident living in Bucks, Chester, Delaware, Montgomery or Philadelphia counties, and you're on both Medicaid and Medicare, you may be eligible to become a Keystone First VIP Choice member.

We offer extra benefits and services to help you get well and stay healthy. Questions?  Call us toll free: 1-855-241-3648 (TTY/TDD 711), 7 days a week,  8 a.m. to 8 p.m. (October 1 - February 14) and Monday - Friday,  8 a.m. to 8 p.m. (February 15 - September 30).

Learn more about plan benefits

It's easy to enroll in Keystone First VIP Choice. First, check out important information like plan benefits and our network of doctors and pharmacies.

Questions?

Call us toll free: 1-855-241-3648 (TTY/TDD 711), 7 days a week,  8 a.m. to 8 p.m. (October 1 - February 14) and Monday - Friday,   8 a.m. to 8 p.m. (February 15 - September 30).

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