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Electronic enrollment form

Mail-in form

Download and print the Medicare enrollment form (PDF) or dental enrollment form (PDF).

Fill it out and mail it to:

Attn: Medicare Sales
Aspirus Health Plan
PO Box 51
Minneapolis, MN 55440

Call for assistance

Call us today to talk with a licensed Aspirus Health Plan agent for assistance.

715.631.7437 or toll-free at 1.855.931.4855
TTY users call 1.855.931.4852