Individual OEP 2024 EMBED

1. Are you a current member of Priority Health? *This question is required.

• Yes
• No

5. Would you like to be contacted by an enrollment specialist?  *This question is required.

• Yes
• No

When is the best time to contact you? *This question is required.

• Morning
• Midday
• Evening

Is this a mobile or a landline? *This question is required.

• Mobile
• Landline

Optional: Sign up to receive enrollment information, reminders, marketing messages, and SMS updates! 
Please click the box below to receive text messages on your mobile device from Priority Health. By signing up you agree to receive marketing messages and updates from Priority Health at the phone number provided. Message and data rates may apply.  Reply STOP to unsubscribe. 
Detailed information can be found here: Priority Health's SMS Privacy Policy

• Yes, please keep me informed!

9. Who are you shopping for?

• Myself
• Myself and Spouse
• Family

10. How did you hear about Priority Health?

• TV Commercial
• Email
• Online Ad
• Search Engine
• Social Media
• Employer
• Friend/Family
• Other - Write In Please enter an 'other' value for this selection.
• Mail/Printed information