How to Enroll
Beneficiaries interested in qualifying for Extra Help with Medicare Prescription Drug Plan costs can call any of the following:
- (800) MEDICARE (800-633-4227).
- TTY/TDD users should call (877) 486-2048 24 hours / 7 days a week
- Your state Medical office
- The Social Security Administration at (800) 772-1213 between 7am - 7 pm, Monday through Friday. TTY/TDD users should call (800) 325-0778
Enroll by Phone
Contact an Inter Valley Health Plan Sales Representative at
(888) 711-4984, TTY/TTD 711 between 7:30 am-8 pm, 7 days a week. Our representatives will be happy to speak with you and help you through the enrollment process.
Contact an Inter Valley Health Plan Sales Representative at
(888) 711-4984, TTY/TTD 711 between 7:30 am-8 pm, 7 days a week. Our representatives will be happy to speak with you and help you through the enrollment process.
Enroll In Person
Meet with an Inter Valley Health Plan Sales Representative at one of our Enrollment Locations. Click here to find a convenient location near you.
Meet with an Inter Valley Health Plan Sales Representative at one of our Enrollment Locations. Click here to find a convenient location near you.
Online Enrollment
Medicare Beneficiaries may enroll in Inter Valley Health Plan through the CMS Medicare Online Enrollment Center. Review our Medicare Program Plans and click the Enroll Now button on the Plan you would like to enroll in. You will be redirected from Inter Valley Health Plan's website to the official website for Medicare. Once you have completed your enrollment, you will be redirected back to Inter Valley Health Plan.
Medicare Beneficiaries may enroll in Inter Valley Health Plan through the CMS Medicare Online Enrollment Center. Review our Medicare Program Plans and click the Enroll Now button on the Plan you would like to enroll in. You will be redirected from Inter Valley Health Plan's website to the official website for Medicare. Once you have completed your enrollment, you will be redirected back to Inter Valley Health Plan.
Enroll by Fax
Please click here to download Inter Valley Health Plan's Enrollment Form, complete the enrollment form, sign and date it, then fax it to Inter Valley Health Plan at:
(909) 397-0139
Click here for instructions on completing the enrollment form
Please click here to download Inter Valley Health Plan's Enrollment Form, complete the enrollment form, sign and date it, then fax it to Inter Valley Health Plan at:
(909) 397-0139
Click here for instructions on completing the enrollment form
Enroll by Mail
Please click here to download Inter Valley Health Plan's Enrollment Form, complete the enrollment form, sign and date it, then return it to Inter Valley Health Plan at:
Sales Department
Inter Valley Health Plan
PO Box 6002
Pomona, CA 91769-6002
Please be sure to date the enrollment form
Click here for instructions on completing the enrollment form
Please click here to download Inter Valley Health Plan's Enrollment Form, complete the enrollment form, sign and date it, then return it to Inter Valley Health Plan at:
Sales Department
Inter Valley Health Plan
PO Box 6002
Pomona, CA 91769-6002
Please be sure to date the enrollment form
Click here for instructions on completing the enrollment form
Download Adobe Reader at
