Contact Us

You may contact us at any time by using one of the convenient methods below.

Call Us

Member Services

1-866-542-426
1-800-662-1220 TTY
Monday through Sunday
8:00 a.m. - 8:00 p.m.

Enrollment Representative

1-866-542-4269
1-800-662-1220 TTY
Monday through Sunday
8:00 a.m. - 8:00 p.m.

Send Us a Message

Need Help?

Contact Information

Member Services

Enrollment Representative

Enrollment

Download a 2011 Enrollment Form

Download a 2012 Enrollment Form

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

H3337_LHA_MARK_1227 CMS Approved 11/03/2011

Last Modified: Sun, September 18, 2011 10:43:48