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Click here to view Citizens Choice Healthplan HMO Pre-Enrollment Kit.

Benefits, formulary, pharmacy network, premium and/or co-payments/co-insurance may change on January 1, 2010. Please contact Citizens Choice Healthplan HMO for details. Thank you for your interest in Citizens Choice Healthplan HMO. If you already know that you want to join Citizens Choice Healthplan HMO, you may enroll online by doing any of the following:

1. Click below to enroll online:

• Clicking above will take you directly to the Citizens Choice Healthplan HMO Online Enrollment Application.

2. Make an in-home appointment by calling 1-866-646-CCHP (2247).

3. Attend a seminar:




4. Request information via mail by calling 1-866-646-CCHP (2247) | TDD: 1-866-516-9366, 8am to 8pm, Monday through Sunday, including holidays.

Medicare beneficiaries may enroll in Citizens Choice Healthplan HMO through the Centers for Medicare & Medicaid Services Online Enrollment Center located at http://www.medicare.gov. For more information contact Citizens Choice Healthplan HMO at 1-866-646-CCHP (2247).

5. Click below to enroll online directly to the Medicare Website:

• In the link http://www.medicare.gov, please scroll down to the section titled SEARCH TOOL and select Compare Health Plans and Medigap Policies in Your Area.
• Follow the directions as instructed.

6. Download a PDF enrollment application by clicking here:



Please mail your complete form to Citizens Choice Healthplan HMO:

Citizens Choice Healthplan HMO
Attn: Membership Department
17315 Studebaker Road, Suite 200
Cerritos, CA 90703
1-866-634-CCHP (2247)