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Enrolling in a Medicare Supplement plan

Medicare Supplement Insurance is open for enrollment all year long. We’ve made enrolling as easy as possible. See below for eligibility and enrollment information.

Medicare Supplement plans, also referred to as Medigap plans, help pay for some of the health care costs not covered by Original Medicare - Part A hospital insurance and Part B medical insurance.

With all ConnectiCare Medicare Supplement plans:

  • The freedom to see any doctor or visit any hospital nationwide that accepts Medicare patients
  • Guaranteed coverage for life – your plan will continue year after year as long as your premiums are paid on time and you follow the contract terms
  • Coverage for the four Basic Benefits which include: Hospitalization, medical expenses blood and hospice care

Eligibility

To apply for coverage under one of ConnectiCare’s Medicare Supplement plans, you must:

  • Be eligible for Medicare;
  • Reside in Connecticut;
  • Not have coverage provided by Medicaid; and
  • Not have coverage by any other health insurance plan.

How to Enroll

You can download our application and mail it to us along with a check for the first payment.

If you do not send a payment with your application, we will send you an invoice after the application is processed, once your eligibility has been confirmed.

We will send you an identification card along with your contract within 7-10 business days after all parts of the application have been received and the premium has been paid, unless you request a later effective date.

 

Download, print and complete the application:

Mail your completed ConnectiCare Medicare Supplement Application Form application to:

ConnectiCare
P.O. Box 2820
New York, NY 10016-2820

Medicare Supplement coverage

You have options

At ConnectiCare, we offer a wide range of Medicare Supplement insurance plans. You choose the plan with the benefit design that best suits your needs.