Brokers
Welcome to the AmeriHealth Caritas VIP Care (HMO D-SNP) broker information center. We are dedicated to providing our brokers and agents with the support they need. You can contact Broker Support for questions at 1-855-241-3647 or email amerihealthbrokersupport@amerihealthcaritas.com.
New for 2027: Introducing our new Broker E-Kit!
This convenient, all-in- one-stop resource gives brokers quick access to the tools and information they need to confidently support prospects through enrollment in our plan.
Don’t wait - Get started today! Explore the NEW Broker E-Kit (PDF) now to access key enrollment resources and help to support your clients to enroll with confidence.
The Broker E-Kit includes:
- Introduction Brochure
- Summary of Benefits
- Extra Benefits Brochure
- Enrollment Brochure
- Pre Enrollment Checklist
- Plan Ratings
- Important Plan Documents Flyer
- Nondiscrimination notice (NDN)
- Notice of availability (NOA)
Enroll a member
Broward, Lake, Martin, Orange, Osceola, Palm Beach, or Seminole counties:
- Permission to Contact Form (PTC) (PDF)
- Scope of Appointment Form (SOA) (PDF)
- Spanish Scope of Appointment (SOA) (PDF)
- Enrollment Form Instructions
- Online Enrollment Form
- Individual Enrollment Request Form (PDF)
- Creole Individual Enrollment Request Form (PDF)
- Spanish Individual Enrollment Request Form (PDF)
- Pre-Enrollment Checklist (PDF)
- Creole Pre-Enrollment (PDF)
- Spanish Pre-Enrollment (PDF)
- Notice of Availability (PDF)
- Non-discrimination notice (PDF)
Enrollment application
When filling out the enrollment application, make sure that the correct information is in the following sections:
- NIPR number.
- Agent broker ID — Use your insurance license number.
- Agent writing number — Use your Rep ID number.
Use the individual enrollment request form to send your enrollment applications, along with the Scope of Appointment Confirmation Form. Fax each application one at a time to 1-855-822-9400.
Broker resources
Miami-Dade County:
- Broker E-Kit (PDF)
- Event flyer (PDF)
- Event postcard (PDF)
- Summary of Benefits (SB) (PDF) Updated October 1, 2026
- Creole Summary of Benefits (SB) (PDF) Updated October 1, 2026
- Spanish Summary of Benefits (SB) (PDF) Updated October 1, 2026
- Evidence of Coverage (EOC) (PDF) Updated October 1, 2026
- Creole Evidence of Coverage (EOC) (PDF) Updated October 1, 2026
- Spanish Evidence of Coverage (EOC) (PDF) Updated October 1, 2026
- SSBCI Flyer (PDF)
- SSBCI Provider Attestation Form (PDF)
- Over the Counter (OTC) Benefits (PDF)
- OTC Catalog (PDF)
Broward, Lake, Martin, Orange, Osceola, Palm Beach, or Seminole counties:
- Broker E-Kit (PDF)
- Event flyer (PDF)
- Event postcard (PDF)
- Summary of Benefits (SB) (PDF) updated October 1, 2026
- Creole Summary of Benefits (SB) (PDF) updated October 1, 2026
- Spanish Summary of Benefits (SB) (PDF) updated October 1, 2026
- Evidence of Coverage (EOC) (PDF) updated October 1, 2026
- Creole Evidence of Coverage (EOC) (PDF) updated October 1, 2026
- Spanish Evidence of Coverage (EOC) (PDF) updated October 1, 2026
- SSBCI Flyer (PDF)
- SSBCI Provider Attestation Form (PDF)
- OTC Benefits (PDF)
- OTC Catalog (PDF)
Self-service tools
Contact
Broker Support: 1-855-241-3647 or email amerihealthbrokersupport@amerihealthcaritas.com.
Call Broker Support for:
- General benefits quoting assistance
- Supplemental provider lookup
- Medicaid eligibility confirmation
- Medicare eligibility confirmation
- Submitting sales material requests to the warehouse
- Application status
- Certain outbound attempts to agents for RFI
Additional support:
- Health plan CRM support: 1-855-241-3647
- Prospective member telesales support:
- Miami-Dade County: 1-800-858-1487
- Palm Beach, Broward, Lake, Martin, Orange, Osceola, Seminole Counties: 1-800-898-3018
- Enrollment forms fax: 1-855-822-9400
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