St. Als Health Plan Enrollment Link & Instructions

Please 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. NOTE: only boxes on the application followed by instructions with a red asterisk are required to be filled in.

Put in your zip code and click VIEW PLANS

• Click the purple ENROLL button for the plan you want
• Click CONTINUE TO APPLY
• Enter your demographic info 
• NOTE: When entering your name, it must match exactly as it appear on your Medicare card, including middle initial. If you are a Sr. or Jr., please be sure to include it on the application.
• NOTE: Counties must be written out fully - not abbreviated
• When done, click CONTINUE at the bottom of the page

• Enter your MBI (Medicare number) from your red/white/blue card (all 0s are zeroes)
• Choose the REQUESTED EFFECTIVE DATE of Jan 1, 2026
• Under SELECT A REASON FOR ENROLLING choose AEP (Please skip all other reasons)
• Click CONTINUE at the bottom of the page

Answer the Prescription Drug Coverage, Medicaid Enrollment, and Long Term Care question, as they are required. Then scroll down to PHYSICIAN SELECTION. 

• Type in the name of your Primary Care Physician. (If you don't have one or can't remember, you can click on the FIND A PHYSICIAN button and select one near you. You can always change this at a later date.) 
• Primary Care Physician NPI is not required. Please leave it blank. 
• Click CONTINUE at the bottom of the page

This plan has no premium, so it does not matter what you choose.

• Complete this section and sign with the mouse or type your signature
• Click CONTINUE

• Check the box next to "I understand..." 
• Check the box next to your relationship to the enrollee. (If enrolling for yourself, mark "I am the person enrolling".)
• Either type in a signature by checking the “Due to physical limitations” box, or sign with your mouse 
• Click CONTINUE

• Review everything you just filled out 
• Once all looks good, click SUBMIT 

You will be taken to a page that says “Your application has been submitted and is

pending approval”. 

• Click on the button that says COMPLETE HEALTH ASSESSMENT. (Your responses in no way affect your acceptance, coverage or premiums.) 
• Once done, click SUBMIT at the bottom.  

You should now have 2 emails in your inbox:  one that says they have received your

application and one that says they have received your health assessment. Your

identification cards should arrive in the mail well before your new plan goes into effect.