Medicare in Connecticut

Connecticut Medicare
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By the numbers

Residents of Connecticut who receive their health insurance benefits from Medicare made up 16% of the total population in 2012. 55% of these Medicare beneficiaries were female and 45% were male, which was exactly the same as the national average. 21% of beneficiaries in Connecticut are enrolled in a Medicare Advantage plan; the majority of them selected an HMO. Following is some data on enrollment in Medicare plans in Connecticut in 2012:

  • Number of Medicare beneficiaries in Connecticut: 586,277
  • Number enrolled in a Medicare Advantage plan in Connecticut: 123,694
  • Percentage of beneficiaries enrolled in Medicare Advantage HMO in Connecticut: 16%

Medicare Advantage Organizations and Prescription Drug Plan Sponsors must have a contract with Medicare in order to sell Medicare insurance plans (such as a Medicare HMO or a Medicare Part D Plan. Depending on the terms of the contract between the plan and Medicare, not every plan is available statewide or in all service areas. Each year, the plan must renew their contract with Medicare, so the availability of a plan in a specific service area is subject to change as a result of the annual contract renewal.

Medicare resources in Connecticut

Beneficiaries in Connecticut have access to various Medicare resources that can answer questions about benefits, costs, and Medicare plans in Connecticut.

Connecticut Medicare Savings Programs: If your income falls below a certain limit, you may qualify for savings. Some programs that assist beneficiaries with health care costs are the Qualified Medicare Beneficiary program (QMB), the Special Low Income Medicare Beneficiary program (SLMB) and the Additional Low Income Medicare Beneficiary program (ALMB).

Connecticut State Health Insurance and Assistance Programs (SHIP): Connecticut's program for SHIP is called CHOICES (Connecticut's program for Health insurance assistance, Outreach, Information and referral, Counseling, Eligibility Screening). The CHOICES program provides information to residents aged 60 and older and also persons with disabilities. It is free to Connecticut residents and is funded by the State of Connecticut Department of Social Services, the Area Agencies on Aging, and the Center for Medicare Advocacy.

How healthy is the state of Connecticut?

Connecticut is the twenty-ninth most populous state in the U.S. and is ranked as the 3rd healthiest state in the nation. Connecticut's strength as a healthy state is helped by its low prevalence of smoking as well as its lower prevalence of obesity than most other states. Two challenges facing Connecticut are its high prevalence of binge drinking as well as its moderate levels of air pollution.

All data provided by the Kaiser Family Foundation.