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Join Now!
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, 2012. 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:
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 find the section titled Finding Plans and select Enroll Now.
- 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)
H3815_11148EN CMS Approved 10242011
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