- Medicare Supplement Application
- Medicare Part D Application
- Medicare Advantage Application
- Submit Application Online
Medicare Select Plans are available in specific geographic areas only, and you must live within a 30 mile radius of a Medicare Select participating hospital listed below to enroll in a Medicare Select plan.
Medicare Select Plans – Hospital Listing (by county)
| County | Hospital |
|---|---|
| Champaign County | Provena Covenant Medical Center |
| Cook County | Evanston Hospital Glenbrook Hospital Gottlieb Memorial Hospital Jackson Park Hospital and Medical Center John H. Stroger Hospital MacNeal Hospital Methodist Hospital of Chicago MetroSouth Medical Center Mount Sinai Hospital and Medical Center Norwegian – American Hospital Oak Forest Hospital Provident Hospital of Cook Country Skokie Hospital South Shore Hospital Thorek Hospital and Medical Center University of Illinois at Chicago Medical Center |
| Dupage County | RML Specialty Hospital |
| Kane County | Provena Mercy Center Provena St. Joseph Hospital |
| Kankakee County | Provena St. Mary’s Hospital |
| Lake County | Highland Park Hospital Vista Medical Center East Vista Medical Center West |
| Macon County | Decatur Memorial Hospital |
| Madison County | Anderson Hospital |
| Rock Island County | Trinity Medical Center – East Campus Trinity Medical Center – West Campus |
| St. Clair County | Kenneth Hall Regional Hospital Touchette Regional Hospital |
| Tazewell County | Pekin Hospital |
| Vermilion County | Provena United Samaritans Medical Center |
| Will County | Provena St. Joseph Medical Center |
Indiana
| County | Hospital |
|---|---|
| Lake County | Methodist Hospital – Northlake Methodist Hospital – Southlake |
| Vanderburgh County | Deaconess Hospital |
**Med-Select hospital list is subject to change. Always verify the network status with United Healthcare or the hospital before receiving treatment.