AARP Illinois Medicare Plans
Free Online Quote

If you have a scanned copy of your completed application on your computer, you can submit it using the form below. When the policy is activated, a confirmation email will be sent to the email provided below and the policy booklet and ID cards will be mailed to the address listed on the application.

If you do not have access to a scanner, you can fax your application to: (847) 220-9280.