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Enrollment and Disenrollment

How do you enroll in our plan?

Medicare beneficiaries may submit an enrollment application with HealthSun through either of the following methods:

  1. Complete an Enrollment Application with a HealthSun licensed sales agent during a one-on-one appointment.
  1. Download the Enrollment Application (PDF). Print, complete, and send to HealthSun ‘Enrollment Department’ through either the following options:
  • Mail: 3250 Mary Street Suite 400, Miami, FL 33133
  • Fax: 305-234-9275
  • Secure E-mail: sales@healthsun.com
  1. Complete an Electronic Enrollment Request with HealthSun. Click here to start the electronic form.

  2. Medicare beneficiaries may also enroll in HealthSun Health Plans through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov or CMS can assist you to enroll by calling 1-800-MEDICARE.


senior couple

To enroll with HealthSun Health Plans, you must have Medicare Part A and Medicare Part B and live in one of our covered service areas. Click here to view our Summary of Benefits for plans and service areas available to you.

Typically, beneficiaries cannot enroll in a Medicare Advantage Plan outside of the Open Enrollment Period. However, in certain situations a Special Election Period (SEP) may be used during the other months of the year so that beneficiaries may be able to join, switch, or drop a Medicare Advantage HMO plan or a Prescription Drug plan.

Please call HealthSun Health Plans Member Services Department if you would like more information about enrollment in our Medicare Advantage plans.




See if your provider participates in HealthSun Health Plans network.

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How do you end your membership in our plan?

You can call 877-336-2069 or send a request in writing to HealthSun Health Plans 3250 Mary Street, Suite 400, Miami, FL 33133. Contact Member Services if you need more information on how to end your membership.

-or- You can contact Medicare at 1-800-MEDICARE (1-800-633- 4227), 24 hours a day, 7 days a week. TTY users should call 1-877-486-2048.

Plan Information

Enrollment Application

Forms for agent-assistance Only

Plan Change Form

Address Change Form

Disenrollment Form

Member Rights and Responsibilities Upon Disenrollment

For further information on disenrollment rights and responsibilities please contact our Member Services Department at (877) 336-2069. TTY users should call (877) 206-0500. We are available Monday through Friday from 8:00 a.m. - 8:00 p.m.

If we end your membership with our health plan we will inform you of our reason in writing and explain how you may file a complaint against us if you wish to do so.

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