How to Enroll | Allwell from Arkansas Health and Wellness

How to Enroll

Thank you for your interest in becoming a member of Allwell from Arkansas Health and Wellness. We are excited for you to join us!

There are three (3) ways to enroll:


Enroll online

Click on the link below to go to our online website tool where you can choose your plan and apply now. 

By Phone

Call us and one of our licensed sales and enrollment representatives will help you through the enrollment process.

1-877-891-6091 (TTY: 711)

By Mail or Fax

Download and print your enrollment application. Once you fill it out, mail it or fax it to us. If you need help, contact Member Services to speak to a licensed sales agent. 

Paper Application Instructions

  1. Download and print the paper application.
  2. Please fill out the paper application.
  3. Check either YES or NO box for items 1 through 5 on page 5.
  4. Enter your Primary Care Physician's name.
  5. Sign and date the enrollment application for Allwell on page 7.
  6. Check any box on page 9 that applies to you.
  7. Submit your application via mail or fax.

Mail Your Application

Send your application to:

Medicare Enrollment Department
P.O. Box 2020
Farmington, MO 63640-2011

Fax Your Application

Fax your application to: