Becoming a member of FamilyCare Health Plan is Easy!

Please fill out the enrollment form and mail it to:

FamilyCare Health Plans
2121 SW Broadway, Suite 300
Portland, Oregon 97201

Along with the enrollment form, please provide (if applicable) a copy of your:

• Medicare Card
• LIS Letter
• OMAP ID card
• Notice of Credible Coverage

Once we have received your enrollment form:

• FamilyCare will verify your enrollment
• FamilyCare will call you and let you know you’ve been accepted
• FamilyCare will send you a Confirmation of Enrollment Letter and a New Member Packet

For help enrolling in one of our Medicare plans, or for information about our Medicare plans, call:

Sales: 866-225-CARE (2273) or 503-345-5701
Oct 1, 2007 through March 31, 2008
8am-8pm, Monday-Sunday

April 1, 2008 through September 30, 2008
8am-5pm, Monday-Friday

TTY: 800-735-2900

Email: medicaresales@familycareinc.org