FeelWell Member Enrollment

STEP 1: Determine your eligibility

To join AgeWell New York you must:

• Be entitled to Medicare Part A
• Be enrolled in Medicare Part B
• Live in the AgeWell New York service area: Bronx, Kings (Brooklyn), Queens, New York, Nassau, Suffolk and Westchester Counties
• Not have End-Stage Renal Disease (ESRD)—permanent kidney disease requiring dialysis or a kidney transplant—except under certain limited circumstances

STEP 2: Review all Plan Materials

2018 FeelWell Summary of Benefits
2018 Welcome Letter
2018 Scope of Appointment

• Legal Authority Translator Witness Statement

STEP 3: Join the AgeWell New York family

• Medicare beneficiaries may enroll through the CMS Medicare online enrollment center located at www.medicare.gov.
• Over the phone with an enrollment counselor and one of our benefits advisors will be happy to assist in your enrollment. Just call 1- 866-586-8044 (TTY for the hearing impaired 1-800-662-1220), 8 a.m. to 8 p.m., 7 days a week.
• Enroll by mail. Simply visit us at agewellnewyork.com, download our 2018 Enrollment Form and 2018 Attestation if applicable.
• Complete the enrollment form by selecting the plan in which you would like to enroll; choose only one plan.
• Review the form, making sure it is complete and that you have read the whole application, paying special attention to everything in the “Important Information” sections of the form.
• Sign and date the complete enrollment application, and mail it to us at: AgeWell New York, Attention: Enrollment Department,
1991 Marcus Ave—Suite M201, Lake Success, NY 11042