Broker Referral Form
for referring prospective Medicare Advantage members
Please complete all required fields below and click submit. Commissions will pay after the member is sold and has been enrolled 90 days.
Important Reminder:
The prospective member must contact our Customer Service Department with any questions or to request an enrollment form or in-home appointment. The prospective member may call the agent or agency they wish to represent them, or they can always contact AdventHealth Advantage Plans directly at 1-800-716-7377 weekdays from 8am to 8pm and Saturdays from 8am to noon. From October 1 to March 31, AdventHealth Advantage Plans is available seven days a week from 8am to 8pm.
Per the Center for Medicare & Medicaid Services (CMS) AdventHealth Advantage Plans cannot reach out to the prospective member.
AdventHealth Advantage Plans is administered by Health First Health Plans. Health First Health Plans is an HMO plan with a Medicare Contract. Enrollment in Health First Health Plans depends on contract renewal.
Y0089_EL8540AH_M | Accepted date: 10/01/2020
Last updated: 01/12/2022