Application for Enrollment in Medicare Part B

Fill out the form below to have your Utah Avenue agent help you apply for Part B coverage with Medicare. 

Your Utah Avenue Insurance agent can help you over the phone, via text or email or in-person at one of our local offices in Payson or Springville, Utah. Let your agent know if you have a question, or feel free to schedule an appointment. 

Utah Avenue Insurance

801-609-8699