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Ways to Enroll

Phone

Call our team at 734-984-4537 (TTY 711) (8 am to 5 pm, Monday through Friday) to enroll today.

Online

You can now easily enroll online safely and securely! Simply go to our online application to choose your plan, fill out your information, and apply today.


Other Ways to Enroll

Ask Us to Call You:

To request a call, please fill out this form.
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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
Enrollment Department
23900 Orchard Lake Road, Suite 210
Farmington Hills, MI 48366


CCA Medicare Excel and CCA Medicare Ultima – Enrollment Form (2023)

At no point will CCA Health sell, trade, or lease any information collected on our site.

CCA Medicare Ultima (HMO) and CCA Medicare Ultima (HMO) are health plans with Medicare contracts. Enrollment depends on contract renewal.

To learn more or become a member

734-984-4537 (TTY 711)
8:00 am to 5:00 pm, Monday through Friday