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.
Enroll online in a 2020 plan
- Meet with your broker who can help you with enrollment
- If you don't have a broker, call ConnectiCare toll-free for a personal consultation at 1-877-224-8221 (TTY: 711), seven days a week, 8 a.m. to 8 p.m., from October 1 to March 31 and 8 a.m. to 8 p.m., Monday to Friday from April 1 to September 30.
Call toll-free at 1-877-224-8221 (TTY: 711).
Oct. 1, 2019 to Mar. 31, 2020
Representatives are available to take applications by phone:
, 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.
By Mail or fax
Download and complete the 2020 Enrollment Application. Once you have completed the application, you can send it to us:
By Fax: 1-800-871-5281
2020 Formulario de solicitud de inscripción
ConnectiCare, Inc. & Affiliates
175 Scott Swamp Road
P.O. Box 4001
Farmington, CT 06034-9900
To enroll in a 2019 plan, download and mail a completed 2019 Enrollment Application