Please fill out the information below to request your Medicare Advantage Provider & Pharmacy Directory.

  • The information requested below will be used to match to your current customer record. If you are not an existing customer, please contact us at the telephone number below to request a directory.
  • The Directory will be mailed to your mailing address on file within 3 business days.
  • If you would like the Directory mailed to a different address, please call Customer Service at 1-800-668-3813 (TTY 711) 8 a.m. - 8 p.m., 7 days a week


Note: If we have any questions, we may contact you at the Phone Number or Email Address provided above.