2024 Summary of Benefits


2024 Enrollment Application Forms


2024 Sales Brochures


2024 Plan Related Forms & Helpful Links


2024 Provider and Dental Directories

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

  • ConnectiCare Passage Plan 1 (HMO-POS)

  • Dental Directory

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


2024 Pharmacy Directories and Formularies

  • Medicare Preferred Performance Pharmacy Directory

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

  • National Medicare Performance Pharmacy Directory

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

  • ConnectiCare 6 Tier Medicare Advantage Drug Formulary