Applications

Application Form for the Basic Medicare Supplement Plan
Summary of Benefits for the Basic Medicare Supplement Plan
Preventive Medical Care Rider to the MCHA Basic Medicare Supplement Plan Policy
Medicare Part A Deductible Rider to the MCHA Basic Medicare Supplement Plan Policy
Medicare Part B Excess Charge Rider to the MCHA Basic Medicare Supplement Plan Policy
Medicare Part B Calendar Year Deductible Rider to the MCHA Basic Medicare Supplement Plan Policy

Application Form for Deductible Plans
Summary of Benefits of Deductible Plans
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Minnesota Comprehensive Health Association
Customer Service, Mail Route CP555
401 Carlson Parkway
Minnetonka, MN  55305-5387

For deductible plan options call 1.866.894.8053
For Medicare Supplement plan options call 1.800.325.3540
Hearing Impaired Call the National Relay Center at
1.800.855.2880 and Ask for the Appropriate Number Above