Enrollment Information

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Enrollment Information

Depending on your situation, you can enroll in AdvantraRx (PDP) during one of the enrollment periods listed below:

Initial Enrollment Period (IEP)
Begins three months immediately before a person is first eligible to both Medicare Part A and Part B and ends three months after the month of eligibility

Annual Election Period (AEP) also referred to as the “Fall Open Enrollment” season
November 15th – December 31st with plan effective date of January 1st

Special Enrollment Period (SEP)
An SEP is available only under SPECIAL circumstances. Events that qualify you for an SEP include but are not limited to:

  • Change in permanent residence that results in moving out of the current plan’s service area;
  • Involuntary loss of creditable coverage, such as beneficiaries who are losing coverage through an employer or leaving employer coverage
  • Becoming eligible for Medicaid (Dual Eligible)
  • Losing dual eligibility status
  • Moving into, living or moving out of a long-term care facility


You may contact a Customer Service Representative for additional information on what qualifies as a Special Election. Click here for the telephone number to call.

How to Enroll

We have made enrollment as easy as possible.  You can sign up for AdvantraRx (PDP) in one of the following ways:

Enroll Online

Click here to access the plan finder where you can find the AdvantraRx (PDP) plan in your area and register online.

Medicare beneficiaries may also enroll in AdvantraRx (PDP) through the Centers for Medicare & Medicaid Services Online Enrollment Center, located at www.medicare.gov. For more information contact AdvantraRx (PDP) at 1-800-882-3822 (TTY/TDD users call 1-888-788-4010), 8 a.m. to 8 p.m., seven days a week.

Enroll By Telephone

Call us toll-free at 1-800-882-3822 (TDD 1-888-788-4010), 8:00 a.m. to 8:00 p.m., seven days a week.  A trained Coventry sales representative can answer any questions and enroll you over the phone.

Enroll By Mail

Click here to print an Enrollment Form, complete and submit to:

Coventry Health Care, Inc.

AdvantraRx Enrollment

PO Box 7763

London, KY 40742-9831

Enroll By Fax

Click here to print an Enrollment Form, complete the form and fax it to: 1-866-415-2232.

Both the online Enrollment Form and the printable Enrollment Form contain detailed instructions on how to complete the form. If you have questions, please contact us at AdvantraRx (PDP) at 1-800-882-3822, (TTY/TDD: call 1-888-788-4010) between 8 a.m. and 8 p.m., local time. Our representatives are available seven days a week.

Click here to print a Cover Letter which is included in our Enrollment Kits and includes valuable information.

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Page Last Updated: 11/12/2009
CMS Approved Date: Pending CMS Approval
CMS Document ID: M0003C0002_09MAPDPDP_502_CVTYWEBs508a

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