How To Enroll

Adjust Text Size: A A A




Below are 4 ways to enroll in a ConnectiCare VIP Medicare Plan:

Keep in mind, enrollment is limited to certain times of the year. To learn more about when you can enroll, click here.


  Online

Our Online Application - Quick, Easy and Convenient!
By completing the online enrollment application you will be submitting an actual enrollment request to join a ConnectiCare VIP Medicare 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.

Medicare beneficiaries who are eligible to join a 2013 ConnectiCare VIP Medicare Plan may do so by selecting the "Enroll in a 2013 Plan" button located below.


Enroll in a 2013 ConnectiCare VIP Medicare Plan




Enroll by Phone icon  By Phone

ConnectiCare Representatives are standing by to take applications by phone. Medicare beneficiaries who are eligible to join a ConnectiCare VIP Medicare Plan can call us toll-free at 1-877-224-8221, Monday through Friday from 8 a.m. – 6 p.m. (TTY/TDD users: 1-800-842-9710).





  By Mail

You may print an enrollment form, and upon completion mail it to the address below.


2013 Enrollment Form button


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



  In Person

Call toll-free at 1-877-224-8221, seven days a week from 8 a.m. - 8 p.m. (TTY/TDD users: 1-800-842-9710). Representatives can assist you directly, or arrange for a personal consultation at a time and location that's most convenient for you.

If you prefer to have a ConnectiCare Representative call you click here.






H3528_13_4006_01r4 CMS Approved 1/15/2013
Last Update 12/08/2012