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Medicare Savings Programs, Instructions for Applying

Medicare Savings Programs, Instructions for Applying

2018

For a brochure on the Medicare Savings Program published by the Department of Social Services, click here.

Visit the DSS website to download a copy of the Medicare Savings Program application.

  • Complete and sign the form.
  • Mail the signed and completed form to:

Department of Social Services
Adult Support Team - 10th Floor
25 Sigourney St.
Hartford, CT  06106


It is a good idea to keep a dated copy of the application form.

After you apply

Your application should be approved or denied within 30 to 45 days.

If you don’t hear from the Department within 45 days, call that office and ask to speak with someone in the Intake Unit.

If your application is not approved or denied within 45 days, or if you feel that your application was incorrectly denied, contact the legal services office for your area.

If you are found eligible for the Qualified Medicare Beneficiary Program, the Department will issue you a Medicaid card which you can use when you obtain health care services.  The Department will make arrangements with the Social Security Administration so that Medicare premiums are no longer deducted from your Social Security checks.  This process may take up to three months.

If you are found eligible for the Specified Low-Income or Additional Low-Income Medicare Beneficiary Program, the Department will make arrangements with the Social Security Administration so that Medicare premiums are no longer deducted from your Social Security checks. This process may take up to three months.

Get Help From Legal Aid

Age 60+: Get help from legal aid.
Under age 60: Find legal help or apply online.
Not from Connecticut? Find help in another state.

Get help from 2-1-1

Dial 2-1-1 or go to 211ct.org for help with services in your community.

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