KelseyCare Advantage 2026 Enrollment Kit

Enrollment Kit Request Form

This form allows brokers to order a 2026 Enrollment Kit to be mailed directly to a prospective client when a digital kit is not preferred. This form helps brokers provide clients with important information about KelseyCare Advantage’s Medicare plans so they can make informed choices.

Simply fill out a simple form with the shipping information and kit preference (English or Spanish). Once submitted, the request is processed within 24 hours, and the kits are shipped directly to the address entered via United States Postal Service (USPS).

For 2025 Enrollment Kits, please call 713-442-4949.