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Member Services

You may download, complete, sign and date an enrollment form. Application Instructions

Once you have completed the form please fax it to:

1-631-227-3484

Or mail it to:

Liberty Health Advantage
1 Huntington Quadrangle
Suite 3N01
Melville, NY 11747

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More Questions? –
A Liberty Representative can help,
Call toll-free
1-866-542-4269
TTY 1-800-662-1220

Liberty Health Advantage HMO is a Coordinated Care Plan with a Medicare Advantage contract and a contract with the New York State Medicaid program.