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 contact us.

Online

You can complete a secure online enrollment form based on desired coverage year by clicking on the links below –

  spENROLL-2018kdbl  spENROLL-2019kdbl

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. (You may apply if you live in Waukesha County in Wisconsin.)

By Mail

You can also print and mail an application based on the desired coverage year by selecting from the links below –

(You may apply if you live in Waukesha County in Wisconsin.)

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 us. Mail the application to –

Senior Preferred
Application 
840 Carolina Street
Sauk City, Wisconsin 53583

This webpage was updated on October 1, 2018.