How to Enroll

Enroll Online

Click the button below to Enroll Online. You will be directed to complete an Individual Enrollment Request Form to enroll in a Medicare Advantage Plan (Part C).

Enroll by Mail or Fax

Please see below and click one of the links to download the application of the plan you want. Complete the form and either mail or fax it to us.

Verda Health Plan of Texas
Attention: Enrollment Department
P.O. Box 105213
Jefferson City, MO 65110
Fax: 714-845-9841

2024 Enrollment Application Forms

Verda Noble Care (HMO)
Verda Noble Chronic Care (HMO C-SNP)

Important Information

To enroll in any Verda Health Plan, you will need to provide your current Medicare Member Number (found on your Medicare card), phone number, and your permanent address. Please ensure that you fill out all the sections labeled as “Required.” The remaining sections are optional, and your coverage cannot be denied if you choose not to complete them.

Once you have been successfully enrolled, we will send you a bill for the plan’s premium. Alternatively, you have the option to choose to have your premium payments deducted from your bank account (ACH), check, credit card, or your monthly Social Security or Railroad Retirement Board (RRB) benefit check.

Verda Healthcare - How to Enroll

Finding the Right Plan for You

Verda Health plans serve to bridge the disparities and address expenses not included in your Original Medicare Part A & Part B programs. You qualify for one of our plans if:

Part A of Original Medicare covers in-hospital stays and services, skilled nursing care, hospice care and certain types of home healthcare.

Part B of Original Medicare covers doctor visits, outpatient care, other types of home healthcare, medical equipment and many preventive health services.

Do You Have Chronic Conditions?

You are eligible to join the Verda Noble Chronic Care (HMO C-SNP) Plan if you have been diagnosed with any of the following conditions:

  • Cardiac Arrhythmias
  • Peripheral Vascular Disease
  • Coronary Artery Disease
  • Chronic Venous Thromboembolic Disorder
Verda Healthcare - How to Enroll

Questions? Call Us!

Call our Sales team at 1-877-933-6767 (TTY: 711) to provide you a complimentary plan comparison and help you make a better informed decision.

Hours of Operation

October 1 – March 31:
7 days a week, 8:00 AM – 8:00 PM (except Thanksgiving and Christmas)

April 1 – September 30: Monday-Friday, 8:00 AM – 8:00 PM (except holidays)