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Care Connect + Medicare (HMO DSP)
Enrollment Form
Care Connect + Medicare Enrollment Telephone Numbers
6126763554 or 18007071711
TTY for the hearing impaired at 6126766810 or 18006882534
8 am 5 pm,
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How to fill out how to enroll in
01
Visit the enrollment website or go to the enrollment office.
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Provide any required documentation or identification.
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Pay the enrollment fees if applicable.
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Submit the completed enrollment form and supporting documents.
06
Wait for the enrollment confirmation or acceptance letter.
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Follow any further instructions provided by the enrollment office or organization.
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