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Ways to Enroll


Call our team at 833-611-5887 (TTY 711), April 1 to September 30, 8 am – 8 pm, Monday – Friday, to enroll .


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

Request a Phone Call

To request a call, please fill out this form.

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Enroll by Mail

Do you prefer mail? Download our CCA Medicare Plan Enrollment Form, fill it out, and mail it to us at this address. We will then reach out to you to complete the process:

CCA Health Rhode Island
3 Davol Square
Suite C-300
Providence, RI 02903

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

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

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

To learn more or become a member

833-611-5887 (TTY 711)
April 1 to September 30, 8 am – 8 pm, Monday – Friday