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.
Call toll-free at 1-877-224-8221 (TTY: 711). ConnectiCare representatives are available to take applications by phone:
From Oct. 1 – Mar. 31, seven days a week, from 8 a.m. – 8 p.m. ET.
From Apr. 1 – Sept. 30, Monday - Friday, from 8 a.m. – 8 p.m. ET.
Or, call your broker, who can help you with enrollment.
At a ConnectiCare center
One-on-one help with enrollment is available at ConnectiCare centers in Farmington, Manchester, Norwalk, Shelton, and Waterbury. View locations and hours or make an appointment.
At a personal consultation or seminar
Call us at 1-877-224-8221 (TTY: 711) to arrange a personal consultation or to reserve your seat at a seminar. During the Annual Election Period, we will host virtual/online seminars. Sign up for a virtual seminar here.
By Mail or fax
Download and mail a completed 2021 Enrollment Application (2021 Formulario de solicitud de inscripción) to:
ConnectiCare, Inc. & Affiliates
Attention: Medicare Advantage Enrollment
P.O. Box 4001
Farmington, CT 06034-9900
Or, if you are enrolled in or are enrolling in the Choice Dual Basic (HMO D-SNP) plan, and want to add an Optional Supplemental Benefit to your ConnectiCare Medicare Advantage plan, download and mail a completed 2021 Optional Supplemental Benefit Application (2021 Formulario para Agregar/Eliminar beneficios complementarios opcionales) to the address above.
2020 Enrollment Application (2020 Formulario de solicitud de inscripción)