University Care Advantage Academic Medicine
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Enrollment Instructions
Enrollment Instructions

University Care Advantage contracts with the Centers for Medicare and Medicaid Services (CMS) to offer Medicare services and prescription drug coverage for University Care Advantage members with Medicare. If you have Medicare Parts A & B, are on Medicaid and live in Pima, Cochise, Pinal, or Santa Cruz County, you may be eligible to enroll.

Pre - Enrollment Disclaimers

University Care Advantage (UCA) is a Medicare Special Needs Plan who contracts with the Centers for Medicare and Medicaid Services (CMS) to offer Medicare services and prescription drug coverage. To qualify, you must be eligible for Medicare Part A, enrolled in Medicare Part B & AHCCCS, and live in Pima, Cochise, Pinal, or Santa Cruz County. UCA offers Medicare benefits plus additional benefits to help you with dental, hearing, and vision.

You must receive all routine care from plan providers. You must use plan providers except in emergent or urgent care situations or for out-of area renal dialysis. If you obtain routine care from out-of-network providers neither Medicare or University Care Advantage will be responsible for the costs.

You may be able to get extra help to pay for your prescription drug premiums and costs. To see if you qualify for extra help, call:
  • Medicare at 1-800-MEDICARE (1-800-633-4227). TTY/TDD users should call 1-877-486-2048, 24 hours a day/7 days a week.
  • The Social Security Administration at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY/TTD users should call 1-800-325-0778
  • AHCCCS at 1-800-654-5437


For an enrollment form that you can fax or mail in, please click here for English.
Click here for Spanish.

Or visit the CMS Enrollment site to enroll online.

By clicking on the links above you may be leaving the University Care Advantage website. Links to other web sites are provided as a resource for our visitors.

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All site documents are available in alternate formats or languages. For assistance, please call the Customer Care Center at 1-877-874-3930. TTY/TDD users call 800-367-8939. We are here to help you 24 hours a day / 7 days a week.