How To Enroll

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Convenient ways to enroll in a ConnectiCare VIP Medicare Plan


  Online

Enroll Online:
Medicare beneficiaries who are eligible to join a ConnectiCare VIP Medicare Plan may do so by selecting the button "Enroll online for a plan". By completing the online enrollment application you will be submitting an actual enrollment request to join a ConnectiCare VIP Medicare 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 in a ConnectiCare VIP Medicare Plan




Enroll by Phone icon  By Phone

Enroll by Phone
Call toll-free at 1-877-224-8221 (TTY/TDD users: 1-800-842-9710). Representatives are available to take applications by phone Monday through Friday from 8 a.m. – 6 p.m. EST.





  In Person

Call toll-free at 1-877-224-8221 (TTY/TDD users: 1-800-842-9710) to arrange a personal consultation at a convenient time and location. Representatives are available to take your call seven days a week from 8 a.m. – 8 p.m. EST.



  By Mail

Mail a completed Enrollment Request Form to:

    ConnectiCare
    Attention: VIP Medicare Enrollment
    P.O. Box 4001
    Farmington, CT 06034-4001

2015 Enrollment Form button        



Medicare beneficiaries may also enroll in a ConnectiCare VIP Medicare Plan through the CMS Medicare Online Enrollment Center by clicking here and choosing your plan option.




H3528_16_4006_01r2 CMS Approved 12/09/2015
Last Update 12/07/2015