You can complete a secure online enrollment form by clicking one of the buttons below.
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.)
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.
This webpage was updated on October 1, 2019.
You can also print an application to complete and mail by selecting the link below.
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 our office at:
840 Carolina Street
Sauk City, Wisconsin 53583