Represent Aspire with confidence
Aspire Health Plan proudly welcomes the broker community. Take comfort in knowing that our commitment to keeping seniors healthy translates into satisfied, loyal clients for you. We contract with Field Marketing Organizations to sell our Aspire HMO and HMO-POS products. If you are interested in becoming a licensed broker for Aspire Health Plan, please email Susan.Sanders@aspirehealthplan.org
If you are already a licensed broker, we have included important forms below.
Interactive formulary
Provider search
Pharmacy search
Silver&Fit®
Silver&Fit® is provided by American Specialty Health Fitness, Inc. a subsidiary of American Specialty Health Incorporated (ASH). Silver&Fit® is a federally registered trademark of ASH.
All-in-one guide
2020 All-In-One Medicare Advantage Decision Guide PDF | 2020 Spanish (en español PDF)
2021 All-In-One Medicare Advantage Decision Guide PDF | 2021 Spanish (en español PDF)
2021 All-In-One Medicare Advantage Decision Guide PDF | 2021 Spanish (en español PDF)
Appointment of representative form
Authorization for Use or Disclosure of Health Information form
Enrollment forms
2020 Aspire Health Plan enrollment form PDF | 2020 Spanish (en español PDF)
2021 Aspire Health Plan enrollment form PDF | 2021 Spanish (en español PDF)
2021 Aspire Health Plan enrollment form PDF | 2021 Spanish (en español PDF)
Enhanced benefits
2020 Enhanced Benefits PDF | 2020 Spanish (en español PDF)
2021 Enhanced Benefits PDF | 2021 Spanish (en español PDF)
2021 Enhanced Benefits PDF | 2021 Spanish (en español PDF)
2020 Enhanced Benefits enrollment form PDF | 2020 Spanish (en español PDF)
2021 Enhanced Benefits enrollment form PDF | 2021 Spanish (en español PDF)
2021 Enhanced Benefits enrollment form PDF | 2021 Spanish (en español PDF)
Scope of appointment
2020 Scope of Sales Appointment confirmation form PDF | 2020 Spanish (en español PDF)
2021 Scope of Sales Appointment confirmation form PDF | 2021 Spanish (en español PDF)
2021 Scope of Sales Appointment confirmation form PDF | 2021 Spanish (en español PDF)
Summary of Benefits
2020 Summary of Benefits PDF | 2020 Spanish (en español PDF)
2021 Summary of Benefits PDF | 2021 Spanish (en español PDF)
2021 Summary of Benefits PDF | 2021 Spanish (en español PDF)
Benefits Highlights
2020 Benefits highlights PDF | 2020 Spanish (en español PDF)
2021 Benefits highlights PDF | 2021 Spanish (en español PDF)
2021 Benefits highlights PDF | 2021 Spanish (en español PDF)
Plan Change Forms
2020 Plan Change forms | 2020 Spanish (en español PDF)
2021 Plan Change forms | 2021 Spanish (en español PDF)
2021 Plan Change forms | 2021 Spanish (en español PDF)