Web Portal - Registration

This will give you convenient online access to your eligibility & benefit information, and the ability to check the status of a claim.
Step 1: Profile Information
Create a UserID:	(Enter only a-z A-Z 0-9, no spaces)
Password:	Password must be minimum of 8 characters long.
Re-type Password:

Step 2: User Details
Email Address:
Re-type Email Address:
Policy / Certificate Number:
First Name:
Last Name:
Date of Birth:	/ /
Medicare Claim Number:	Where can I find my Medicare Claim Number?
Get Audio Code Type the code from the image above: