When to enroll

Let’s make sure you are eligible to enroll in a ConnectiCare Medicare Advantage plan. You are eligible if:

  • You qualify for Medicare Part A;

  • You are enrolled in and continue to pay for Medicare Part B; and

  • You reside in ConnectiCare’s service area, which is the entire state of Connecticut.

Except under certain limited circumstances, the Centers for Medicare & Medicaid Services (CMS) does not allow Medicare Advantage plans to enroll Medicare beneficiaries that have End-Stage Renal Disease.

If you are eligible, you may only enroll in a ConnectiCare Medicare Advantage plan during specific times of the year. Here are some important enrollment dates:

You can enroll when you first become eligible for Medicare (three months before the month you turn age 65 until three months after the month you turn age 65). If you did not elect Medicare Part B when you were first eligible, you can still enroll in a Medicare Advantage plan. You will have a three-month period to enroll, which begins three months before your Medicare Part B effective date. You will not be able to enroll after your Medicare Part B effective date unless you qualify for a Special Enrollment Period as listed below.

If you receive Medicare benefits due to a disability, you can join from three months before until three months after your 25th month of disability.

If you are eligible for Medicare, you can enroll in or switch plans during the Annual Election Period. For example, you can switch from Original Medicare to a Medicare Advantage plan (like a ConnectiCare Medicare Advantage plan). Your coverage will be effective on January 1, 2019.

There is an additional, annual Open Enrollment Period (OEP) that takes place from January 1st through March 31st. The new OEP allows individuals enrolled in a Medicare Advantage plan, including newly Medicare Advantage-eligible individuals, to make a one-time election to go to another Medicare Advantage plan or Original Medicare. Individuals using the OEP to make a change may make a coordinating change to add or drop Part D coverage.

For NEW Medicare beneficiaries who are entitled to Parts A and B and are already enrolled in a Medicare Advantage plan during their initial coverage election period: You may make a change as noted above before the last day of the third month of your Part A and Part B entitlement. This would not apply to those who delay Part B enrollment.

In certain situations, you may be able to join, switch or drop a Medicare Advantage plan at other times during the year. Some of these situations include, if: 

  • You move out of your plan’s service area

  • You have both Medicare and Medicaid

  • You qualify for Extra Help paying for your Part D prescription drugs

  • You live in an institution (such as a nursing home)

  • You lose your employer coverage

Y0026_c1921r01
Last update 11/26/2018