Face to Face

A Senior Preferred representative is available to meet with you to discuss the plan options available. There is no obligation to enroll. You can complete an enrollment application during this appointment, if you choose. Or, you can take an application with you to fill out and return at a later time. 

To schedule an appointment, please call (800) 394-5566.  For people who are deaf, hard of hearing or speech impaired, please call TTY/TDD 711 or (800) 877-8973.  You may also call through a video relay service company of your choice. Interpreter services are provided free of charge to you.

Online

You can complete a secure online enrollment form by clicking on the link below.

  • 2018 Application
    (If you live in the following counties, you may apply – Wisconsin: Buffalo, Crawford, Jackson, Juneau, La Crosse, Monroe, Trempealeau and Vernon; in Iowa: Allamakee, Clayton, Fayette, Howard and Winneshiek)

Medicare Beneficiaries may also enroll in a Medicare Advantage Plan like Senior Preferred through the CMS Medicare Online Enrollment Center at http://www.medicare.gov. (By selecting this link, you will leave the Senior Preferred website.)

By Mail

You can also print an application to complete and mail by selecting the link below. 

  • 2018 Application
    (If you live in the following counties, you may apply – Wisconsin: Buffalo, Crawford, Jackson, Juneau, La Crosse, Monroe, Trempealeau and Vernon; in Iowa: Allamakee, Clayton, Fayette, Howard and Winneshiek)

Please note, applications are time sensitive. If you want to talk to a representative about your eligibility for Senior Preferred or the date your coverage would begin, please contact usMail the application to our office at: 

Senior Preferred
Application
840 Carolina Street
Sauk City, WI 53583

This web page was updated December 4, 2017.