Enroll in a UCare Medicare Group Plan

You have two options for enrollment:

Complete an enrollment form
and submit it online

  • You'll need your Medicare number and an email address to get a validation code.
  • Save your progress and finish the application later. Access your in-progress application through a link in the original validation email.

online enrollment form tool

Then add comprehensive dental coverage:
online dental enrollment form


1-877-598-6574 toll free
(TTY: 1-800-688-2534)
8 am to 8 pm, seven days a week.

Print and mail in forms

2020 Enrollment Form (PDF)
2020 Dental Enrollment Form (PDF)

2019 Enrollment Form (PDF)
2019 Dental Enrollment Form (PDF)

Download and print the enrollment form.
Fill it out and mail or fax it to:

Attn: UCare Medicare Group Plans
PO Box 52
Minneapolis, MN 55440
Fax: 612-884-2005

You must read this information before you enroll in Group UCare for Seniors or a UCare Medicare Group plan.

This information is available in alternate formats or languages. Please call 1-855-432-7027 toll free (TTY 1-800-688-2534 toll free) to request this information in other formats or languages

October 2019