Enroll in the CCA Medicare Dual Special Needs Plans

Enroll by Phone

Phone

Call our team at 844-884-9593 (TTY 711), April 1 to September 30, 8 am – 8 pm, Monday – Friday, to enroll.

Other Ways to Enroll

Request a Phone Call

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Enroll by Mail

Do you prefer mail? Download the form below, fill it out, and mail it to us at this address. We will then reach out to you to complete the process:

CCA Health Michigan, Inc.
22260 Haggerty Road, Suite 300
Northville, MI 48167

CCA Medicare Maximum (HMO D-SNP) (MI) – Enrollment Form (2024)

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English PDF | Last Updated 3/27/2024

Spanish PDF | Last Updated 3/27/2024

Arabic PDF | Last Updated 3/27/2024

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The CCA Medicare Maximum (HMO D-SNP) plan is a health plan with a Medicare contract and a contract with the State Medicaid program. Enrollment depends on contract renewal.