Prefer the Phone?
Call 1-888-500-3355
Forms
Dependent Re-Enrollment Form For Individual Policy Holders
Dependent Re-Enrollment Form For Employer Sponsored Coverage
Employer Census Certification Form
Small Group Proposal Request Form
Group Contract - Standard Terms & Conditions
Group Contract Acceptance Form
Individual Health Insurance Enrollment Application
Small Group Rate Disclosure Notification
Express Scripts Prescription Claim Form
Express Scripts Specialty Medication Order Form (for commercial and Medicare members)
- Request a Quote
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- Call Customer Service
(888) 873-8044
New West has over 4,600 providers in our network.
Medicare beneficiaries may enroll in New West Medicare PPO or New West Medicare Enhanced PPO through the Centers for Medicare & Medicaid Services Online Enrollment Center, located at http://www.medicare.gov
or
Choose a plan below. Enter your zip code and click the “Submit” button. For more information contact New West Health Services. Please call:
(888) 873-8049
or
(888) 290-3658 (TTY/TDD)