How To Enroll

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Below are 4 ways to enroll in a ConnectiCare VIP Medicare Plan:


  Online

Our Online Application - Quick, Easy and Convenient!
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 Online a 2014 Plan
Medicare beneficiaries who are eligible to join a 2014 ConnectiCare VIP Medicare Plan may do so by selecting the "Enroll in a 2014 Plan" button located below. Keep in mind, enrollment is limited to certain times of the year. To learn more about when you can enroll, click here.

Enroll in a 2013 ConnectiCare VIP Medicare Plan



Enroll by Phone icon  By Phone

Enroll by Phone for a 2014 Plan
ConnectiCare Representatives are standing by to take applications by phone. Medicare beneficiaries who are eligible to join a 2014 ConnectiCare VIP Medicare Plan may do so by calling us toll-free at 1-877-224-8221, Monday through Friday from 8 a.m. – 6 p.m. (TTY/TDD users: 1-800-842-9710). Keep in mind, enrollment is limited to certain times of the year. To learn more about when you can enroll, click here.


  By Mail

You may print an enrollment form, and upon completion mail it to the address below. Keep in mind, enrollment is limited to certain times of the year. To learn more about when you can enroll, click here.


2014 Enrollment Form button        


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



  In Person

Call toll-free at 1-877-224-8221, seven days a week from 8 a.m. - 8 p.m. (TTY/TDD users: 1-800-842-9710). Representatives are available to arrange a Personal Consultation at a time and location that's most convenient for you. If you prefer to have a ConnectiCare Representative call you click here.






H3528_14_4006_01r4 CMS Approved 1/5/2014
Last Update 1/1/2014