Contact HICAP for Open Enrollment Help

  • We can help you with Medicare Open Enrollment. HICAP, the Health Insurance Counseling and Advocacy Program, provides free, unbiased education, counseling, and advocacy about Medicare and related health insurance.
  • Please use this form to submit a question or a request for assistance with Open Enrollment only. We will respond generally within 4 to 5 business days. Please do not use this form for any issues not related to Open Enrollment. We will not be able to respond to other issues.
  • Complete the form below. An *asterisk indicates a required field. Do not put any personal information on this form, such as Medicare number or insurance member number.
  • Please enter your HOME Zip Code
  • Enter the best phone number to be reached on week days.
  • (check all that apply)
  • (examples: "weekday mornings", or "after 3 pm")
  • Use this form only for help with Open Enrollment, such as a review of the best Drug Plan, a comparison of Medicare Advantage Plans, or help with changes to your plan. Please give us a brief summary. A counselor will contact you for additional details. Do not include any personal information such as Medicare number.
  • PLEASE NOTE: It may take several days, or even up to a week, for you to hear from us. Please do not submit a second form, or call our phone number. Multiple requests from the same person will slow down the response. Thank you for your cooperation.
  • This field is for validation purposes and should be left unchanged.

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