St. Als Health Plan Enrollment Link Instructions
Enter Zip Code
After clicking on the link at the bottom of this page, put in your zip code and click "View Plans".
Choose Plan
- Click the purple enroll button for the Cash Back Plan.
- Clink Continue to Apply
- Enter your demographic info and click Continue
Enter Eligibility
At the "Eligibility Information" page, after entering your Medicare information,
- Choose the requested effective date of Jan 1st if enrolling during open enrollment
- Under "Select a Reason for Enrolling" choose AEP (PLEASE SKIP ALL OTHER REASONS)
Other Information
Complete this page.
- At the physician selection portion type the name of your physician.
- Leave the NPI field blank
- If you don't have a physician name, click on the find a physician button.
- Then click continue.
Payment Information
This plan has no premium so it does not matter what you choose.
Statement of Understanding
Complete this section and click Continue
Did some one help you with this form?
Choose "Broker or Sales Agent" from the drop down and type in Aaron Flake and BC0081610001 in the next two fields.
Statement of Understanding
In the signature portion mark "I am the person Enrolling", check I understand and continue.
Review The Application
The next screen has everything you just filled out for your review. Hit Submit.
Complete Post Enrollment HRA
Click on the Complete Health Assessment button and complete that step.
Link
Here is the link to begin the enrollment: Saint Alphonsus Enrollment Link