Skip to Main Content

Convenient ways to enroll and learn more about the ConnectiCare Choice Dual (HMO D-SNP) plan.

icon online  Online

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

icon person   In Person

  • 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.

icon phone  By Phone

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.

icon mail  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

By Mail:
ConnectiCare, Inc. & Affiliates
175 Scott Swamp Road
P.O. Box 4001
Farmington, CT 06034-9900

2020 Formulario de solicitud de inscripción

Last update 12/1/2019