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Enroll by Phone

Give us a call or connect with us online to start your enrollment in the CCA Medicare Ultima (HMO) plan or the CCA Medicare Excel (HMO) plan. We can answer your questions and help you choose the plan that’s right for you.

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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Preferred Language(Required)
This field is for validation purposes and should be left unchanged.

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
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.

Enroll by Phone

Give us a call or connect with us online to start your enrollment in the CCA Medicare Excel (HMO) plan. We can answer your questions and help you choose the plan that’s right for you.

Phone

Call our team at 833-711-4962 (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.

Hidden
Preferred Language(Required)
This field is for validation purposes and should be left unchanged.

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
Enrollment Department
23900 Orchard Lake Road, Suite 210
Farmington Hills, MI 48366


CCA Medicare Excel MI – Enrollment Form (2024)

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

CCA Medicare Excel (HMO) is a health plan with a Medicare contract. Enrollment depends on contract renewal.