SecureRx® PDP

Enrollment made simple.

  • Request a Pre-Enrollment Kit

    Call us for more information at 888.839.7330 TTY 711. We'll send plan information for you to review at your convenience.

  • Enroll by Mail

    Print, fill out, and mail.

  • Enroll Electronically

    Fill out form and send it to us electronically.

  • Enroll by Phone

    Call us at 888.839.7330 TTY 711, Monday through Friday, 8 a.m. - 8 p.m.

Individuals must have Medicare Part A and/or Part B to enroll in a plan. Prospective members may enroll only during specific times of the year (typically October 15–December 7 for a January 1 effective date), however there are exceptions that may allow you to enroll in a plan outside of this period. Please contact SecureRx PDP for more information.  

Medicare beneficiaries may also enroll in SecureRx PDP through the CMS Medicare Online Enrollment Center located at  http://www.medicare.gov

 

  • Premium Withdrawal Program

    An automated payment option that will deduct your premium directly from your bank account. To learn more about this program, download a Premium Withdrawal Program Enrollment/Change Form.

  • Monthly paper billing

    Receive a paper bill the first of each month for the following month. Pay directly by check or money order. Refer to your 2018 Evidence of Coverage for more information.

  • Pay through your monthly Social Security check

    Automatically have your Plan premium deducted from your monthly Social Security check. Contact Customer Service for more information.

  • Credit/Debit card or electronic check

    Log in to your account to enjoy the convenience and timeliness of paying your premium online.

 

Your SecureRx PDP enrollment application will be subject to the approval of the Centers for Medicare and Medicaid Services (CMS), the federal agency that administers Medicare. Avalon will notify you by mail to let you know if CMS has accepted or denied your enrollment application for SecureRx PDP Coverage. If you have health benefits through your own or your spouse’s employer, please contact your Group Administrator.

The plan offerings in which you are enrolling may not be available in the following contract year, because by law, plan sponsors can choose to not renew their contract with CMS or reduce their service area and CMS may also refuse to renew the contract, thus, resulting in a termination or non-renewal.

 

Updated September 30, 2018
S8067_WBST19