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You have the following options for easy enrollment.

To be eligible for an ATRIO Medicare Advantage plan, you must have Medicare Part A and Part B, live in one of our service areas, and have a valid enrollment period. Learn more about enrollment periods.

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Enroll by Mail or Fax

Simply print and complete the paper Enrollment Form found below and mail or fax the form to us at:

Saint Mary's ATRIO Health Plans
2270 NW Aviation Drive
Roseburg, OR 97470

Fax: 866-238-1736 or 541-672-8670

You can also bring your completed Enrollment Form to our local office.

You must also complete and submit the Attestation of Eligibility Form along with your Enrollment Form. To view plan information including Summary of Benefits and Star Ratings, go to Plan Options.

2024

Enrollment Form Attestation of Eligibility

En Espanol:

Formulario de Inscripción

Certificación de Elegibilidad

2023

Enrollment Form Attestation of Eligibility

En Espanol:

Formulario de Inscripción

Certificación de Elegibilidad