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Z7_D5J39B1A00Q5B0Q9PCJAIH10C1 Group Enrollment: Washington D.C. Please note: If you're NOT receiving Medicare health benefits through your, or your spouse's, employer, union, or trust fund, use our Individual Enrollment Form. Before you begin your Group Enrollment It will take 15 minutes or so to complete your form. Make sure you meet Medicare eligibility requirements to enroll. Have your Medicare card handy. You'll need information from this card to enroll.   Already started? Return to your saved form Begin enrollment here Start typing in your employer, union, or trust fund's name below. Select your organization's name and click on the "Begin group enrollment" button. If you are a federal employee or retiree, you are able to enroll in Medicare Advantage (HMO) for FEHB members by searching "FEDERAL EMPLOYEES" below. Employer, union, or trust fund name       If your organization's name does not appear, please contact your benefits administrator for more information and to enroll.     By completing this online form, you'll be enrolling in a Kaiser Permanente Medicare Group health plan. If you have questions about your eligibility or need help completing this form, call Member Services from 8 a.m. to 8 p.m., 7 days a week, at 1-888-777-5536 (toll free) or TTY 711. Nondiscrimination notice | Language assistance Secured site Note: If you are in a public place or on a shared computer, do not leave the computer unattended and make sure no one else may view your information as you fill out the form. After you have completed and submitted the form, exit your Web browser. Z7_D5J39B1A08U600QS1DJEHM2040 How can we help you? Call us Speak with a Kaiser Permanente Medicare specialist. Call toll free 1-855-219-7320 (TTY 711) 8 a.m. to 8 p.m., 7 days a week.

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You must reside in the Kaiser Permanente Medicare health plan service area in which you enroll.

Kaiser Permanente is an HMO plan with a Medicare contract. Enrollment in Kaiser Permanente depends on contract renewal.

For accommodations of persons with special needs at meetings, call 1-877-220-3956 (toll free) or TTY 711.

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This page was last updated: April 15, 2021 at 12 a.m. PT