By completing the online enrollment application, you will be submitting an actual enrollment request to join a ConnectiCare Medicare Advantage plan. In most cases, once your application is submitted electronically, you're done. ConnectiCare will process your application and contact you if we need more information. Otherwise, you’ll receive your Welcome Kit and Member ID card in the mail.
Call toll-free at 1-877-224-8221 (TTY: 711). Representatives are available to take applications by phone:
Oct. 1, 2019 to Mar. 31, 2020, seven days a week, from 8 a.m. – 8 p.m. ET and
Apr. 1, 2020 to Sept. 30, 2020, Monday - Friday, from 8 a.m. - 8 p.m. ET.
Download and mail a completed 2020 Enrollment Application to:
Or, if you want to add an Optional Supplemental Benefit to your ConnectiCare Medicare Advantage plan, download and mail a completed 2020 Optional Supplemental Benefit Application (2020 Formulario para Agregar/Eliminar beneficios complementarios opcionales) to the address above.
Medicare beneficiaries may also enroll in a ConnectiCare Medicare Advantage plan through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
Last update 10/23/2019