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Excellus

Contracting

Get Contracted

Get Quotes


Information


Forms & Guides

  • For supply orders, email the appropriate email address below. Include your name, NPN number, the address you’d like your supplies shipped to, and which kits you would like to order.
    • Western New York Agents: This email address is being protected from spambots. You need JavaScript enabled to view it.
    • Eastern New York Agents: This email address is being protected from spambots. You need JavaScript enabled to view it.

Contact Information


Application Submission Options

  • Fax: 716-857-6160
  • Mail:
    Excellus Health Plan, Inc.
    Attn: Medicare Enrollment Processing
    PO Box 31790
    Rochester, NY 14603-1790
Information is subject to change. Please refer to carrier website for most up to date forms and guides.

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Guarantee Trust Life

Contact Information


Application Submission Options

Information is subject to change. Please refer to carrier website for most up to date forms and guides.

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HealthNet

Contact Information


Application Submission Options

  • Online Enrollment
  • Fax: 1-844-222-3180
  • Mail: Enrollment Services
    PO Box 10420
    Van Nuys, CA 91410
Information is subject to change. Please refer to carrier website for most up to date forms and guides.

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Highmark

Contact Information


Application Submission Options

  • Starting August 1,2025- all enrollments must be submitted electronically 
  • Online Enrollment
  • Fax: 717-635-4609
Information is subject to change. Please refer to carrier website for most up to date forms and guides.

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Horizon Blue Cross Blue Shield

Contracting

Get Contracted

Get Quotes


Information

  • Product Availability: NJ

Forms & Guides

Contact Information


Application Submission Options

  • Online Enrollment
  • GA Code if needed is 0032
  • Fax : 1-973-377-6887
  • Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
Information is subject to change. Please refer to carrier website for most up to date forms and guides.

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