2025 Summary of Benefits

 

2025 Enrollment Application Forms

 

2025 Sales Brochures

 

2025 Plan Related Forms & Helpful Links

 

2025 Provider and Dental Directories

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

 

2025 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 6 Tier Medicare Advantage Drug Formulary

  • ConnectiCare D-SNP Medicare Advantage Formulary