This is not an application. Signing this form does NOT affect your current enrollment, nor will it enroll you in a Medicare Advantage or other Medicare plan.
MMM of Florida, Inc., is an HMO plan with a Medicare contract. Enrollment in MMM of Florida depends on contract renewal. *Benefit varies by coverage. MMM of Florida, Inc., complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-844-212-9858 (TTY: 711). MMM of Florida Inc., konfòm ak lwa sou dwa sivil Federal ki aplikab yo e li pa fè diskriminasyon sou baz ras, koulè, peyi orijin, laj, enfimite oswa sèks. ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-844-212-9858 (TTY: 711). Paid promotion.
Updated: October 2020
H3293_2021 4037 0001 1_M
