Welcome, MAPE.Enroll in Medica.

You will need your Medicare card when filling in this form
The enrollment form will take about 5 to 10 minutes to complete
You'll be able to review your information and make changes before submitting your completed form

Hide

ZIP code

County

Effective date

Coverage type

Plan name

You will need your Medicare card when filling in this form
The enrollment form will take about 5 to 10 minutes to complete
You'll be able to review your information and make changes before submitting your completed form

Medica is a Cost and PPO plan with a Medicare contract. Enrollment in Medica depends on contract renewal.

Last Updated: 10/22