Call Center hours:

Mon through Fri - 8:00 a.m. to 8:00 p.m.

Beginning November 15, 2009 thru March 2, 2010:

Open 7 days a week - 8:00 a.m. to 8:00 p.m.

Local calls:
  • 330-363-7407
  • 1-800-577-5084
TTY / TDD users:
  • 330-363-7460
  • 1-800-617-7446

Eligibility Information/Enrollment Forms




To be eligibile for our HMO or PPO PLAN Options:
  • Must have Part A & B
  • Must reside in following counties
    • Stark
    • Carroll
    • Columbiana
    • Holmes
    • Harrison
    • Jefferson
    • Mahoning
    • Tuscarawas
    • Wayne
  • Only pre-existing ESRD not eligible to join PrimeTime Health Plan


2010 Enrollment Instructions and Forms

EFT Form

PPO

Enrollment Form Addendum

HMO

Medicare Online Enrollment Center

PrimeTime Health Plan
P. O. Box 6905 • Canton, Ohio 44706
Copyright ®2006 PrimeTime Heath Plan
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CMS Approved 12-12-09
H3620H3664H5485_112009WEB