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With 689,572 Connecticut Medicare beneficiaries in 2020,1 it’s important to know if you’re eligible to become one of them. It’s also important to understand your Medicare plan options before you make a choice in coverage. HealthMarkets can help you cut through the clutter and give you the basics of Medicare Eligibility in Connecticut.

And if you’re ready to shop online now, get started by comparing plans using HealthMarkets’ FitScore®.

Who Is Eligible for Medicare in Connecticut?

You may be eligible for Medicare in Connecticut if you’re a U.S. citizen or a permanent legal resident who has lived in the U.S. for more than five years and one or more of the following applies to you:2

  • You are 65 or older.
  • You have been on Social Security Disability Insurance (SSDI) for two years.
  • You have end-stage renal disease (ESRD) or Lou Gehrig’s disease.

If you are 65 or older and receiving benefits from Social Security, you will be automatically enrolled into what is known as Original Medicare.

Eligibility and Original Medicare

Medicare eligibility in Connecticut entitles you to Medicare Parts A and B, which is known as "Original Medicare.” Part A provides hospitalization coverage. Part B covers medical costs such as doctor visits, medical equipment, and lab work.2

Prescription drug coverage, commonly known as Medicare Part D, must be purchased separately if you have Original Medicare.3

You can also enhance your Original Medicare coverage by purchasing a Medicare Supplement plan. This add-on is sold by private insurance companies and helps covers out-of-pocket expenses like deductibles and coinsurance.

What About Medicare Advantage?

Medicare Advantage plans, an alternative to Original Medicare, are administered by a private company instead of the government’s Medicare program. Medicare Advantage rolls both Part A and Part B into one plan. Most Medicare Advantage plans also include Part D drug coverage, and many plans also include vision, dental, and/or hearing coverage.4

How Do I Apply for Medicare in Connecticut?

If not automatically enrolled, you can apply for Original Medicare in Connecticut by contacting the Social Security Administration by phone or online, or by visiting your local Social Security office.

You can enroll in a Medicare Advantage or enroll in a Medicare Part D plan when you first get Medicare. However, if you miss this change, you can apply during the annual Medicare Annual Enrollment Period, October 15 – December 7.5

Whether Original Medicare, Medicare Advantage, Medicare Supplement, or Medicare Part D is right for you depends on several factors, including your budget, your doctors and your location. 

HealthMarkets’ FitScore can help you find a Medicare plan in Connecticut. After answering a few questions about your needs, we can rank the plans available based on how well they fit you. 

Get started today.


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References:
1.Total Number of Medicare Beneficiaries, KFF. 2018. Retrieved from https://www.kff.org/medicare/state-indicator/total-medicare-beneficiaries/ | 2.Original Medicare (Part A and B) Eligibility and Enrollment, CMS. 2020. Retrieved from https://www.cms.gov/Medicare/Eligibility-and-Enrollment/OrigMedicarePartABEligEnrol | 3.What Medicare Part D drug plans cover, Medicare. 2020. Retrieved from https://www.medicare.gov/drug-coverage-part-d/what-medicare-part-d-drug-plans-cover | 4.Understanding Medicare Advantage Plans, Medicare. 2020. Retrieved from https://www.medicare.gov/Pubs/pdf/12026-Understanding-Medicare-Advantage-Plans.pdf | 5.Medicare enrollment periods: when to sign up, Medicare. 2020. Retrieved from https://www.medicare.gov/blog/medicare-enrollment-period-2020. 

HealthMarkets’ FitScore intends to identify plans that fit your needs. You should carefully review official plan materials.

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