Supplement Plans Agency

Medicare & Health Insurance Forms

Scope of Appointment

Medicare Part B and D Premiums - IRMAA Information for High Wage Earners

Medicare Forms

Customer Service Phone Numbers

  • Aetna: (855) 335-1407
  • Ameritas: (800) 300-9566
  • Blue Cross Blue Shield MN: (800) 382-2000
  • Cigna: (866) 459-4272
  • Delta Dental MN: (800) 448-3815
  • GeoBlue-BCBS: (888) 412-6403
  • Humana: (800) 281-6918
  • IMG (International Medical Group): (800) 628-4664
  • IHC Short Term: (866) 473-6615
  • Medica: (866) 269-6804
  • MNsure: (855) 366-7873
  • Mutual of Omaha: (800) 228-7104
  • Silver Script: (866) 362-6212
  • Spirit Dental: (844) 833-8440
  • UCare: (855) 307-6978
  • United Healthcare: 800-721-0627
  • Wellcare: (888) 550-5252

Forms may be downloaded, printed and signed.

If needed, install adobe reader on you PC,
Adobe Reader

Questions?

Supplement Plans Agency

Scroll to Top