2022 Summary of Benefits


2022 Enrollment Application Forms


2022 Sales Brochures


2022 Plan Related Forms & Helpful Links


2022 Provider and Dental Directories

  • ConnectiCare Choice (HMO) Plans, ConnectiCare Choice Dual (HMO D-SNP) Plans, and ConnectiCare Flex (HMO-POS) Plans

  • ConnectiCare Passage Plan 1 (HMO)

  • Dental Directory

    ConnectiCare Choice (HMO) plans, ConnectiCare Choice Dual (HMO D-SNP) plans, ConnectiCare Flex (HMO-POS) plans, and ConnectiCare Passage Plan 1 (HMO)


2022 Pharmacy Directories and Formularies

  • Medicare Advantage Plans Pharmacy Directory

    ConnectiCare Choice Plan 1 (HMO), ConnectiCare Choice Plan 3 (HMO), ConnectiCare Part B Saver (HMO), ConnectiCare Passage Plan 1 (HMO), ConnectiCare Flex Plan 1 (HMO-POS), ConnectiCare Flex Plan 2 (HMO-POS), ConnectiCare Flex Plan 3 (HMO-POS) 

  • Medicare Advantage Special Needs Plans Pharmacy Directory

    ConnectiCare Choice Dual (HMO D-SNP), ConnectiCare Choice Dual Basic (HMO D-SNP), ConnectiCare Choice Dual Vista (HMO D-SNP), ConnectiCare Employer Group (HMO-POS)

  • ConnectiCare Medicare Advantage Drug Formulary

  • ConnectiCare D-SNP Plan Drug Formulary