Close

In this section

Back

Plans and Benefits
Find a Provider
For Members
For Providers
Contact Us
About Us

For Providers
Contact Us
About Us

Text:

Plans and Benefits
Find a Provider
For Members

search

show off canvas menu

Home
Medicare
For Members
EFT Form

EFT Form

In this section

Back

Appeals and Grievances
Member Portal
Find a Provider
Formulary (Drug List)
Member Forms
Member Rights and Responsibilities
Pay Your Premium
Member Resources
- Healthy Living
View My Coverage and Benefits
EFT Form

In this section

Back

Physician Portal

Inpatient CCU
Intermediate Care
O'Brien 7
- Visitor Policy
WIC/NICU Welcome Guide

Please provide the following information to enroll in Electronic Funds Transfer.

Last updated: 06/2024

1-800-964-4525 (TTY: 711)

Enroll

Plans and Benefits Find a Provider For Members

Trinity Health Plan Logo

Follow us on Facebook

For Members

Plan Documents
Find a Provider
Formulary
Commonly Used Forms

Understanding Medicare

Find a Seminar
Medicare Glossary
Speak to an Agent

Plan Service Area
Medicare Star Ratings
Leadership
Contact

Quick Links

For Providers
Medicare.gov
Fraud, Waste & Abuse

© 2024 Trinity Health Plan Of New England
Site Map
Legal
Contact Us
Terms of Use
Notice of Privacy Practice
Notice of Non-Discrimination

Language Assistance:
English
Español
中文
Français
Deutsch
عربى
हिंदी
Italiano
日本語
한국어
Polski
Português
русский
Soomaali
Tagalog
Tiếng Việt

Trinity Health Plan Of New England (HMO/PPO) is a Medicare Advantage organization with a Medicare contract. Enrollment in Trinity Health Plan Of New England depends on contract renewal. Benefits vary by county. Free enrollment kit without obligation. Other providers are available in our network. Medicare beneficiaries may also enroll in Trinity Health Plan Of New England through the CMS Medicare Online Enrollment Center located at www.medicare.gov. This information is not a complete description of benefits. Call 1-800-964-4525 (TTY: 711) for more information. For accommodations of persons with special needs at meetings call 1-800-964-4525 (TTY: 711).

To file a grievance, call 1-800-240-3851 (TTY: 711), 8 a.m. to 8 p.m., 7 days a week or call 1-800-MEDICARE to file a complaint with Medicare. You can also fax 1-833-802-2495 or write to: Trinity Health Plan Of New England, Attn: Appeals and Grievances Department, 3100 Easton Square Place, Suite 300, Columbus, Ohio 43219. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 888-546-2834 (TTY: 711). 注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 888-546-2834 (TTY:711).

© 2024 Trinity Health Plan Of New England. All rights reserved.

Y0164_WEBCT_M_2024

You are now leaving the Trinity Health Plan Of New England website.