Connecticut Medicare insurance offers affordable health insurance coverage to qualified individuals. These may include people who are over the age of 65 along with disabled workers. While the federal government funds Medicare, the state government of Connecticut can also provide counseling and other services for Medicare beneficiaries.
Medicare consists of Parts A and B, and together they’re known as Original Medicare. Medicare Part A is typically premium-free for most beneficiaries, and it involves hospital insurance that covers the costs of inpatient care. Medicare Part B covers the costs of medical treatments and supplies. Part B may often require the payment of premiums, while both Medicare Part A and Part B involve deductibles and coinsurance.
You may want to purchase Medicare Advantage Plans, which are also known as Medicare Part C. These are obtainable from Medicare-approved private insurance carriers, although the costs and additional covered services will depend on the carrier you purchase your plan from. However, at the very least the coverage of these Medicare Advantage Plans is the same as the coverage of Medicare Part A and Part B.
The cost of prescription medicines may be too expensive for some, especially older Connecticut residents who are in failing health. However, that cost may be covered by Medicare Part D plans which are specifically for covering the cost of prescription drugs. Again, the cost of such plans may depend on the private carrier. Your income may also affect the cost. Individuals with higher income may have to pay more.
Other Medicare Supplement Plans can be obtained to help pay for deductibles and coinsurance. These plans can be added to your basic Medicare Part A and Part B. The supplemental plans may also cover medical services that are not covered by Original Medicare.
In Connecticut, some assistance may be offered to qualified low-income individuals to help pay for the premiums of Medicare Part B. The type of assistance you receive will depend on your marital status and household income.
The state of Connecticut will pay for the whole premium for Medicare Part B for those deemed as Qualified Medicare Beneficiaries (QMB). QMBs may qualify if their monthly income is no more than $1,010. A married couple can be eligible if their combined monthly income does not exceed $1,355.
For Specified Low-Income Medicare Beneficiaries (SLMB), Connecticut can shoulder a large portion of the Medicare Part B premium. To be one of the SLMBs, an individual must have a monthly income that is less than $1,208. Couples who qualify must have a combined income of less than $1,622.
A portion of the premium for Medicare Part B will also be covered by the state, this time for Qualified Individuals (QI). The monthly income ceiling for QIs is $1,357 while married couples must earn less than $1,823 per month.
Medicare Part A premiums may also be paid for by Connecticut for Qualified Disabled and Working Individuals (QDWI). The income of individual QDWIs must be less than $4,045 per month, while the combined monthly income of qualified couples must be less than $5,425.
Some individuals may also qualify for Low-Income Subsidy to provide Extra Help for Prescription Drugs. Qualified individuals must have an annual income of no more than $17,820 with a resource limit of no more than $13,640. Married couples can qualify with a combined yearly income of $24,030 if their resources such as stocks and savings do not total more than $27,250.
The income ceilings mentioned here are for 2017, and these figures may have been increased. If your income exceeds these limits, you should still apply to find out if you can receive benefits from any of these programs.
The law requires each state to provide objective counseling and advice for Medicare beneficiaries who may have questions regarding the various guidelines and details regarding coverage. These are called State Health Insurance Programs, and in Connecticut, this service is under the CHOICES program.
The CHOICES program can offer assistance and clarification regarding Medicare Parts A and B, Medicare Advantage Plans, and Medicare Prescription Drug Plans. It may also offer help involving Medicare Supplement Insurance.
However, CHOICES can also provide answers to questions regarding any aspect of health insurance in Connecticut.