You are completing a 2021 Online Enrollment Request to Golden State Medicare Health Plan.
For questions or assistance completing the enrollment form, please call Golden State Medicare Health Plan Member Services, toll-free at 1-877-541-4111 (TTY: 711) 8 AM to 8 PM, 7 days a week from October 1 - March 31, and Monday - Friday from April 1 - September 30.
Or, call Medicare at 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048.
Medicare beneficiaries may also enroll in Golden State Medicare Health Plan through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.