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For Members

Welcome to ConnectCare

Your employer has chosen the ConnectCare Network for your health insurance needs.

We are a PPO (Preferred Provider Organization) Network with a large local network of physicians and hospitals as well as an extended network of participating physicians, hospitals and other services throughout the state and country.

With your ConnectCare coverage you are able to see any provider you choose however, you will pay more for Out-of-Network providers versus In-Network Providers based on the plan design determined by your Employer.

As a member of ConnectCare, a Third Party Administrator (TPA) will process and pay your medical claims. Key Benefit Administrators (KBA) is ConnectCare’s Preferred TPA, however, your employer may have selected a different TPA for your plan.

A Pharmacy Benefit Manager (PBM) will process and pay your pharmacy claims as a ConnectCare member. Magellan Rx Management is ConnectCare’s Preferred PBM, however, your employer may have selected a different PBM for your plan.

ConnectCare

Customer Service

ConnectCare's Customer Service Staff is available to assist you with general questions and to verify your provider's participation in the ConnectCare network.

Toll Free: 888-646-2429
Local: 989-839-1629
Fax: 989-839-1626
 
Hours of Operation
8:00 a.m. - 12:00 p.m.
1:00 p.m. - 5:00 p.m.
Monday - Friday (Eastern Time)

After normal business hours, inbound communications and information may be relayed via fax, confidential voice mail or electronic mail. All precertification requests and/or communications received after normal business hours are returned on the next business day and communications received after midnight on Monday through Friday are responded to on the same business day.

Certified by NCQA since 2007

NCQA Certified Utilization Management"Achieving Utilization Management Certification from NCQA demonstrates that ConnectCare has the systems, process and personnel in place to conduct utilization management in accordance with the strictest quality standards." -- Margaret E. O'Kane, President, NCQA

NCQA has reviewed and certified ConnectCare's Utilization Management functions only. For complete details on the scope of this review, visit www.ncqa.org.