How to Enroll for a ConnectiCare VIP Medicare Plan
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More information at your fingertips.
Here’s 3 ways to enroll in a ConnectiCare VIP Medicare Plan:
1.Call us toll-free at 1-877-224-8221 (or for TTY/TDD users: 1-800-842-9710) to:
- Schedule an in-home appointment with a ConnectiCare Sales Representative who will answer your questions and assist you with completing the enrollment application.
- Reserve a seat for you at one of our informational seminars in your area, where you can find out more about our ConnectiCare VIP Medicare Plans and a ConnectiCare Sales Representative will be present and can assist you with completing your enrollment application. For accomodations of persons with special needs, contact us at the toll-free number listed above.
- Request an enrollment kit.
2.Enroll Online. Medicare beneficiaries may enroll in a ConnectiCare VIP Medicare plan through the Centers for Medicare & Medicaid Services Online Enrollment Center.
Enroll through the Medicare Online Enrollment Center
Clicking one of the plan names below will take you directly to the enrollment page at the Centers for Medicare & Medicaid Services Online Enrollment Center.
Choose your Plan:
ConnectiCare VIP Prime 1
ConnectiCare VIP Prime 2
ConnectiCare VIP Prime 3
ConnectiCare VIP Prime 4
ConnectiCare VIP Custom 1
ConnectiCare VIP Option 1
ConnectiCare VIP Option 2
3.Enroll by mail. Medicare beneficiaries may enroll in a ConnectiCare VIP plan by completing an enrollment application. If you have any questions a ConnectiCare Sales Representative is available to meet with you who will answer your questions and assist you with completing the enrollment application. Call us toll-free at 1-877-224-8221 (or for TTY/TDD users: 1-800-842-9710) to schedule an appointment.
Enrollment application for Prime and Custom plans. If you are enrolling in Custom 1, a plan designed specifically for Medicare beneficiaries with diabetes, you will also need to complete a Pre-enrollment Qualification Assessment Form and mail it in with your enrollment application.
Enrollment application for Choice plans.
ConnectiCare offers a Direct Debit program making it easier to pay your monthly premium payment. Each month ConnectiCare deducts your premium directly from your bank account. There are no monthly premium invoices and no premium checks to write. The Direct Debit program saves you time, paperwork and the worry that you will forget to pay your premium. If you would like to sign up for the Direct Debit program, please complete the Direct Debit Program Application Form and mail it in with your enrollment application.
If you are already enrolled in a ConnectiCare VIP Medicare Plan and have questions, contact us toll-free at 1-800-CCI-CARE (1-800-224-2273). For the hearing and speech impaired, call 1-800-842-9710 (TTY/TDD). You can call either number from 8:00 a.m. to 8:00 p.m., seven days a week.
If you’d like more information about Medicare Advantage Plans in general, CALL 1-800-MEDICARE (1-800-633-4227). TTY/TDD users can call 1-800-486-2048, 24 hours a day, seven days a week.
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Helpful Questions
Here are some helpful questions so you can choose a ConnectiCare Medicare plan that really fits you.
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Call toll-free: 1-877-224-8221 (TTY/TDD 1-800-842-9710), Monday–Friday, 8 am–8 pm. Extended hours 11/15–3/1, 8 am – 8 pm, 7 days a week.
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