How do I enroll?
Enrollment with Community Choice Advantage is simple. Print the Community Choice Advantage enrollment form (click here), complete it, and mail it to us at:
Community Choice Michigan
P.O. Box 807
One Dayton Centre
One S. Main Street
Dayton, OH 45402
Phone: 1-800-725-4581
(TTY for the hearing impaired: 1-800-649-3777 or 711)
Monday - Friday, 8 a.m. - 8 p.m.
We know you may have more questions. Here is a list of questions we are frequently asked:
Am I eligible to enroll?
You’re eligible to enroll with Community Choice Advantage if you:
- Are entitled to Medicare Part A and enrolled in Part B
- Have full Medicaid benefits
- Do not have end-stage renal disease (ESRD)
- Live in our Community Choice Advantage service area
- Make a choice during a valid election period
- Agree to the rules of the Community Choice Advantage plan
- You must continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third party
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When can I enroll?
You may request enrollment in Community Choice Advantage at the following times:
- When you first become eligible for Medicare
- Any month you are considered dual eligible
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What else should I know about Community Choice Michigan?
Community Choice Advantage is a Health plan with a Medicare contract. Our contract is renewed annually, and coverage beyond the end of the contract year is not guaranteed. If our contract is not renewed, you will be notified in 90 days and given your options for future coverage.
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What happens if I am enrolled with another company?
If you choose to enroll in Community Choice Advantage and you are currently enrolled with another Medicare Advantage plan, you will be automatically disenrolled from that plan.
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Why do I have to select my PCP now?
As part of the enrollment process, you will be asked to select a Primary Care Physician (PCP) from our provider network. Your PCP will be responsible for coordinating all of your health care needs while you are enrolled with Community Choice Advantage. It is important to know that as a Community Choice Advantage member if you receive routine care from providers who are not a part of our network (except in emergencies), neither Community Choice Michigan nor Medicare will be responsible for the cost of care. To see our list of PCP’s, click here.
We can help you select a PCP. Call our Member Services Department at 1-800-725-4581. Monday - Friday, 8 a.m. - 8 p.m. TTY users should call 1-800-649-3777 or 711.
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What should I expect after I mail the form?
You will receive several notices from us.
Those include:
- A letter that we received your completed enrollment form. It will also give you your coverage effective date.
- A member identification card (ID card)
- A request for more information if needed
- A letter that says your enrollment was approved
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How do I find out about Community Choice Michigan’s Quality Assurance Program?
Community Choice Michigan has a thorough Quality Assurance Program. To find out more, click here.
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What if I have a grievance or appeal?
A grievance is a complaint that shows you are not satisfied with the plan or pharmacy's service. We do have a process to receive grievances, exceptions, and appeals. For information about that process, click here. For instructions on how to file a grievance, exception or appeal, please click here. This process is also covered in section 10 of the Evidence of Coverage.
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How do I contact Community Choice Michigan?
If you would like more information about Community Choice Advantage or have questions about the enrollment process you may contact our Member Services Department at 1-800-725-4581. Monday - Friday, 8 a.m. - 8 p.m. TTY users should call 1-800-649-3777 or 711.
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What if I decide Community Choice Advantage is not for me?
You can ask to be disenrolled any time. However, it will be effective the first day of the month following receipt of the written request. For your rights and responsibilities upon disenrollment, click here.
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