Once you click on this link to enroll, it will open in another tab, so you will be able to toggle back and forth between the enrollment page and the step-by-step instructions below.
Click the yellow button that says ENROLL IN THIS PLAN (There may be a BUY-UP Dental Option available that you can select if you want to add this to what is already available in your plan.)
Where it asks if you are an existing member, please choose NO (even if you are an exiting member) since the application is no shorter as a member
Choose CONTINUE TO APPLY at the bottom right
- Continue on with the application with your information
Eligibility Information
After entering your Medicare information, in the Special Election Period section, choose AEP (PLEASE SKIP ALL OTHER REASONS)
Unless you have military or work coverage, answer NO to having other drug coverage.
Other Information
Choosing your language and employment are not required fields.
Choose Primary Care Provider (PCP)
If you already have a PCP, put their name in the box
If you don't have a physician, click on the FIND A PHYSICIAN button. This will open a new tab. Change to the correct city if needed. Make sure the network name matches the plan you're enrolling in. Then enter your doctor's name and search. If you're searching for a PA or NP, you may need to search for the doctor they are under, instead. Please make note of the PCP ID number.
Go Back to the application Tab
Enter the provider's name and PCP ID. If you don't have a PCP, or can't find them just put "99999" in both of these fields.
Did some one help you with this form?
Choose BROKER OR SALES AGENT from the drop down.
Type in Aaron Flake and BC0081610001 in the next two fields.
Enrollment was performed via ONLINE
Requested Effective Date
Please choose 01/01/2026
Payment Information
Choose your payment option
Mark that you have no files to upload
Click continue
Statement of Understanding
In the signature portion mark I AM THE PERSON ENROLLING, check I UNDERSTAND and continue.
Review Application
The whole application that you just completed is available for you to review. Scroll to the bottom and click SUBMIT.
APPLICATION SUBMITTED AND PENDING APPROVAL pops on the next screen and you are done!
Read through the WHAT'S NEXT. Make sure to keep a record of this page, as it contains your plan information you will need to provide to your doctors and pharmacy starting January 1, 2026 until you get your new cards.
Aaron Flake Health Agency is owned and operated by Aaron Flake. We do not offer every plan in your area. Any information provided is limited to the plans we offer. You can visit Medicare.gov for more information on your options.