How To Enroll

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Convenient ways to enroll in a ConnectiCare Medicare Advantage Plan

Enroll Online for a 2017 Plan:

Beginning October 15, 2016, Medicare beneficiaries may enroll in a 2017 ConnectiCare Medicare Advantage Plan by selecting the button “Enroll online for a 2017 Plan”. 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 for a 2017 Plan

Enroll by Phone icon  By Phone

Call toll-free at 1-877-224-8221 (TTY 1-800-842-9710). During the Annual Enrollment Period (October 15 through December 7), Representatives are available to take Enrollment Requests by phone seven days a week from 8 a.m. – 8 p.m. EST.

  In Person

Call toll-free at 1-877-224-8221 (TTY 1-800-842-9710) to:

  • Arrange a personal consultation at a convenient time and location, including the NEW ConnectiCare retail center: 1487 Pleasant Valley Road, Manchester, CT 06042
  • Reserve a seat at one of our free informational seminars in your area that occur from October 14, 2016 – December 7, 2016. Click here to find a seminar

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:

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

2017 Enrollment Request Form

Medicare beneficiaries may also enroll in a ConnectiCare Medicare Advantage Plan through the CMS Medicare Online Enrollment Center located at

H3528_17_4006_01r5 CMS Approved 12/07/16
Last Update 12/05/2016