How to Enroll in Medicare Advantage

We offer a Buckeye Health Plan Medicare Advantage (HMO SNP) plan for people who qualify for both Medicare and Medicaid.

To enroll in a Medicare Advantage Plan from Buckeye Health Plan, choose one of the following: 

Enrollment Application Instructions

Step 1: Please fill out all 8 pages of the application.

Step 2: Check either YES or NO box for items 1 through 5 on page 3.

Step 3: Enter your Primary Care Physician's name.

Step 4: Sign and date the enrollment application for Buckeye Health Plan on page 5.

Step 5: Check any box on page 7 that applies to you.

Step 6: Fax or mail the original copy to:

Medicare Enrollment Department
PO Box 2020
Farmington, MO 63640-2011


Fax: 1-844-222-3180

Medicare beneficiaries may also enroll in Buckeye Health Plan Medicare Advantage through the CMS Medicare Online Enrollment Center located at

If you have any questions regarding this application, please contact one of our licensed sales representatives at 1-877-826-5518 (TTY: 711). If you would rather speak to a member services representative, please call 1-866-389-7690 (TTY: 711).

Member Services 1-866-389-7690 (TTY: 711). From October 1 to February 14, you can call us 7 days a week from 8 a.m. to 8 p.m. From February 15 to September 30, you can call us Monday through Friday from 8 a.m. to 8 p.m On weekends and holidays, an automated system will handle your call.

El horario de atención: del 1 de octubre al 14 de febrero, puede llamarnos 7 días a la semana de 8 AM a 8 PM. Del 15 de febrero al 30 de septiembre, puede llamarnos de lunes a viernes entre 8 AM y 8 PM

Buckeye Health Plan is contracted with Medicare for an HMO SNP plan, and with the Ohio Medicaid program. Enrollment in Buckeye Health Plan depends on contract renewal.

Buckeye Health Plan tiene un contrato con Medicare para un plan HMO SNP y con el programa Medicaid de Ohio. La inscripción en Bridgeway Health Solutions depende de la renovación del contrato.

Last Updated: 02/08/2017