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How to Enroll

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

There are three (3) ways to enroll:

By Phone

Call 1-877-891-6093 (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

Paper Application Instructions

  1. Download and print the paper application.
  2. Please fill out the paper application.
  3. Check either YES or NO box for items 1 through 5 on page 4.
  4. Enter your Primary Care Physician's name.
  5. Sign and date the enrollment application for Allwell on page 6.
  6. Check any box on page 8 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.