The Annual enrollment Period is Here!
Please complete the form below to request a review of your current plan’s drug and provider coverage for 2026.
Once submitted, you will receive an email from your agent with our new Rx Collect Form. With this, you will be able to directly input your doctors and medications, as well as fill out the required Scope of Appointment form.
***Please Note that you will not officially be entered into the queue for a review until this form has been completed***