Online Enrollment

Click here to begin your online enrollment. You will need your red, white and blue Medicare card to complete your enrollment form.

You can also enroll by Phone

Call 1-888-217-2376 (TTY:711)

By Fax

Print out the application form and send to our secure fax to 1-214-321-1893.

Or by Mail

Print out the application form and mail to:

1107 West Market Center Drive
High Point, NC 27260

Medicare beneficiaries may also enroll in Exemplar Health through the CMS Medicare Online Enrollment Center located at

Last Updated on August 27, 2020 by marketing