1. Medicare Advantage Online Enrollment Tool
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2. Start from https://shop.sunshinehealth.com/medicareadv/#/plans
Enter the beneficiary’s zip code
Click GO
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3. All plans for that zip will appear
Click on “Apply Now”
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4. Select Your Sales Role Select “Applicant assisted by a Sales Producer”
Then check “Yes” for Is Applicant with You?
Then enter your NPN (Agent ID) number

5. Set Yourself As The Broker
Required to ensure you get credit for the application
Sales Producer ID
Sales Producer Name
Phone Number
Address (not used for future communications about this enrollment)

6. Affiliation information
Add Affiliation ID, Name and phone number when you are contracted through a GA, FMO or Agency
Sales Rep information is not to be used by brokers, leave blank

7. Medicare Information
Fill in all Medicare Information with information exactly how it appears on the beneficiary’s Medicare card

8. Applicant Information
address- If none provided, you must check “I do not have an address”
State and zip code will be auto-populated based on previous selections

9. Complete and continue to next page
If any of the “Yes” radio buttons are selected (i.e. Emergency Contact Information), additional information will be needed and boxes will drop down for data entry.

10. Attestation of Eligibility
Choose the appropriate Enrollment Period based on the client’s situation.
If additional dates or information is required, drop down boxes will present themselves to collect the data.

11. Language Preference
Materials language preferences that are available, specific for the plan for the plan selected, present themselves.
Default language is English.

12. Answer Important Questions and Continue
Will vary by Health Plan
program ?
Answer the important questions- These are the same as on the paper application.
If any additional information is needed based on a “Yes” answer, drop down boxes will open to capture the information.

13. Use the Find a Provider tool
Launch provider search to select PCP.
Once the provider is located, click on the Provider’s name
Locate the NPI number and complete that field

14. Select Payment Option Select payment option.
Centene
Centene
Centene
Select payment option.
Default is “Get a bill each month.”

15. Attach appropriate documents
You may upload any supporting documentation, such as:
Scope of Appointment
Power of Attorney
Appt. a Representative Form (HIPPA)
File types include: .doc, .pdf, .gif, .jpg, .jpeg or .bmp.
You may upload up to 10 attachments with a maximum file size of 9MB for all attachments.

16. Review Enrollment Information
Review the entered enrollment information
Clicking edit will take you directly back to that page to edit information.
When finished with corrections/additions, click Save & Return at the bottom of the page to go back to the review page.

17. Must review Terms and Conditions
For demonstration purposes
The content of this slide is dependent on the plan that you are enrolling the member.
Agent must open Terms and Conditions link by clicking on the hyperlink, then “Agree” in order to proceed.

18. Email Confirmation and Submission
If an address is not entered here, neither the producer nor the beneficiary will receive a confirmation .
Enter the address you want the confirmation of submission to go to and…

19. Confirmation of Submission Screen
(Will vary by plan)
Once you see this message, you know your application has been submitted
Note the Enrollment Form ID.
You can download and/or print a copy (.pdf) to your system for future use if needed.
An online enrollment receipt must be completed and left with the enrollee.

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