Medicare FAQs

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What Are You Looking For?

Enrollment

For ConnectiCare HMO-POS Medicare Advantage plans, you are eligible to enroll if:

  • You qualify for Medicare Part A;
  • You are enrolled in and continue to pay Medicare Part B; and
  • You reside in ConnectiCare's service area (entire state of Connecticut).

 

To join and remain eligible for a ConnectiCare Choice Dual (HMO-POS D-SNP) plan, you must be:

  • Entitled to Medicare Part A;
  • Enrolled in Medicare Part B;
  • Enrolled in the Connecticut Medicaid Program (HUSKY) or eligible for Medicare cost-sharing; and
  • Living in our service area – the entire state of Connecticut.

ConnectiCare offers a variety of Medicare Advantage plans to meet the different needs of many individuals. So there's sure to be a ConnectiCare plan that’s right for you. 

How to enroll in a ConnectiCare Medicare Advantage plan will depend on which one you’re choosing.

You can use our convenient find a doctor search tool, located right on this website. This online directory is updated daily so you’ll get the most up-to-date information.

Yes. It's important to know that your health plan will be there for you if you have a medical emergency or urgent care situation, especially when you travel. All our plans include coverage for emergency and urgent care.

  • With ConnectiCare HMO-POS plans, you are covered for these services worldwide.1
  • With a ConnectiCare Choice Dual (HMO-POS D-SNP) plan, you are covered for these services only within the United States.

For more information, refer to the Summary of Benefits or Evidence of Coverage. To see plan documents, click here.

1 Subject to limitations.

General Information

Medicare Advantage plans (Medicare Part C) are health plans approved by Medicare and run by private insurance companies, like ConnectiCare. They include your Part A (hospital insurance), your Part B (medical insurance) and in many cases, include extra benefits and services like routine care and wellness programs. Some even include dental coverage.

You can also get Medicare Part D prescription drug coverage from a Medicare Advantage plan. This is called a Medicare Advantage Prescription Drug plan, or MAPD. ConnectiCare offers several MAPD plans.

Medicare Advantage plans may save you money, offer added benefits and services, and keep all of your coverage in a single health plan.

ConnectiCare Passage Plan 1 (HMO-POS)

If you have chosen ConnectiCare Passage Plan 1 (HMO-POS), you need a PCP who accepts members of this plan. There are hundreds of PCPs who accept ConnectiCare Passage Plan 1 members. We do want to caution you: your plan will not cover visits to PCPs who don’t accept ConnectiCare Passage Plan 1 members.

You can see another PCP and pay the same copay as long as the PCP accepts ConnectiCare Passage Plan 1 (HMO-POS) members.

You choose your PCP. You can change the PCP assigned to you as long as the provider is in your plan's network. You just need to let us know. Under your ConnectiCare Passage Plan 1 (HMO), you can change your PCP in two ways: 

Then, contact the PCP you select to register as a new patient.

You have two ways to do it under your ConnectiCare Passage Plan 1 (HMO-POS):

Prescription Drugs

A formulary is the list of prescription drugs covered by ConnectiCare under your plan. Except in limited circumstances, your prescription drugs must be included in our formulary to be covered.

As a ConnectiCare member, you’ll have the flexibility to purchase your covered prescriptions from our extensive network of pharmacies. There are more than 25,000 participating retail pharmacies, including “standard” pharmacies and “preferred” pharmacies where you may pay less for your prescriptions.

Preferred pharmacies include, but are not limited to:

  • Big Y Foods
  • Costco
  • Rite Aid
  • Sam’s Club
  • Stop & Shop
  • Walgreens
  • Walmart

You can also get the medications you take regularly mailed to you by Express Scripts Pharmacy, the company that manages this service for us.

We're Here for You

If not currently enrolled call 877-224-8221 (TTY: 711)

From Oct. 1 to March 31, you can call from 8 a.m. to 8 p.m., seven days a week. From April 1 to Sept. 30, you can call from 8 a.m. to 8 p.m., Monday through Friday.

Medicare members call 800-224-2273 (TTY: 711)

From Oct. 1 to March 31, you can call from 8 a.m. to 8 p.m., seven days a week. From April 1 to Sept. 30, you can call from 8 a.m. to 8 p.m., Monday through Saturday.

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Last Update: 10/01/2024

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