A Healthy CollaborationSM

How to Enroll in Community CCRx

The Annual Enrollment Period for coverage in 2009 has ended, but you can still enroll if you meet certain criteria.

If you have questions about your enrollment eligibility, please call Community CCRx at 1-866-566-8741 (TTY for the hearing impaired: 1-8666-684-5351) 8 AM to 8 PM, 7 days a week, to see if you are eligible to enroll.

Before you enroll, make sure you have your Medicare card with you. Also, if you plan on paying your monthly plan premium with an automatic deduction from your bank account, have your bank information available.

Prior to completing the enrollment form, please read the enrollment disclaimer information.

You can enroll in several ways:

  1. Enroll online by submitting our secure online form.

  2. Or, download a printable enrollment form to mail to us.

  3. Or, talk to a Community CCRx licensed agent and enroll using a paper application.

  4. Or call a Community CCRx Member Service Representative at 1-866-566-8741 (TTY users call 1-800-777-9083), 8:00 AM to 8:00 PM, 7 days a week and enroll over the phone.

S5803_09P0008_v2 (07/2009) Last Updated: 06/23/2009

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