Medicare printed provider directory request

Submit this form and we'll send you a printed provider directory. 

You are requesting a printed provider directory for the current plan year. If you would like a printed provider directory sent to you every year please call member services at 1-877-232-7566 (TTY:711) 8 am to 8 pm, (year-round) and weekends (Oct.1 - March 31).

123-123-1234 x123