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!
Medicare beneficiaries who are eligible to join a ConnectiCare VIP Medicare Plan may do so by selecting the button "Enroll in a 2015 Plan" or "Enroll in a 2014 Plan". 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 2015 ConnectiCare VIP Medicare Plan

Enroll in a 2014 ConnectiCare VIP Medicare Plan




Enroll by Phone icon  By Phone

Enroll by Phone for a 2015 or 2014 Plan
ConnectiCare Representatives are standing by to take applications by phone. Medicare beneficiaries who are eligible to join a 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.




  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.

Or, reserve a seat at one of our Informational Seminars in your area. These seminars are offered during the Annual Election Period (October 15, 2014 – December 7, 2014). Click here. to see a list of seminars in your area and call toll free to reserve your seat, 1-877-224-8221, seven days a week from 8 a.m. – 8 p.m. (TTY/TDD users: 1-800-842-9710).





  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.

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



2015 Enrollment Form button        

2014 Enrollment Form button        




H3528_15_4006_01r1 Pending CMS Approval
Last Update 10/15/2014