MEDICARE CONTACT FORM Thank you for your interest in Community First Health Plans. Please fill out this form and a licensed Medicare team member will contact you to help explore your Medicare Advantage plan options and help you enroll.Name(Required) First Last Phone(Required)Email(Required) County(Required)Please select oneAtascosaBanderaBexarComalGuadalupeKendallMedinaWilsonWhen is the best time to contact you?Would you like to set up an appointment for in-person support?Please select oneYesNo, I prefer to be contacted by phoneDo you prefer for an agent to contact you in Spanish?Please select oneYesNoDo you already have Medicare?Please select oneYesNoAre you currently a Community First STAR+PLUS Member?Please select oneYesNoNot SureWhich Medicare plan are you interested in?Please select oneNEW! Medicare Advantage Bexar DualMedicare Advantage AlamoMedicare Advantage Mezquite DualNot Sure Δ
