MSP Connecticut 2019

MSP Connecticut 2019

As an agent you need to be aware of the new income guidelines for the MSP Connecticut 2019.  Please use the guidelines to help you determine if your client is eligible for this program.  Your client must qualify for Medicare Part A and have income below the specified level to be accepted into this program.  Most clients are eligible for Medicare Part A when they turn 65, however some individuals with a permanent disability can also qualify for Part A benefits.

Use the chart below to see the income limits for the Medicare savings program Ct 2019:

If your client qualifies for Medicare Part B:

They can get premium payment help if they fall under the income limits listed above.  If your client qualifies for the program, the state will pay The premium for Part B.  Because the premium comes out of their Social Security check,  they will have more money in their pocket.  This is the case, when someone qualifies for any of the Medicare savings programs (either QMB, SLMB or ALMB). The state will pay the Part B premium for qualified individuals.

The State of Connecticut can help clients get both Part A and Part B benefits.  Clients who qualify for QMB, will have the state will pay their Part A premium.   Clients can  either apply for part A through the local Social Security office or over the phone at 1-800-772-1213.

If a client qualifies for any MSP program, this is called a conditional enrollment.  That means they can apply for benefits outside of the usual enrollment period. Their enrollment is referred to as a buy in.

The MSP Connecticut 2019 program has many benefits.

The QMB program helps with medical expenses that include; co-insurance payments as well as deductibles.  The SLMB and ALMB programs do not pay either co-insurance or deductibles for you.

Clients are eligible to receive a monthly  Part D premium subsidy of $36.20. They will pay a maximum of $3.40 for formulary generic drugs and a maximum of $8.50 for brand name drugs.  They are offered a semi-continuous open enrollment period and have the ability to join or switch plans quarterly.  There is also no donut hole for these beneficiaries.

Click here to download the MSP Brochure in English.

Click here for MSP Brochure 2019 in Spanish.

It can take up to 90 days for the plan to go into effect. Therefore, there may be a waiting period  before clients see a difference in their Social Security check.  If this is the case,  Social Security will reimburse the premiums that were paid during that time.  There is no asset limit for any of these programs.  The clients income is the only thing taken into consideration on this application.

What counts as income on the MSP Connecticut 2019 application?

Wages, alimony, rental income, interest or dividends and Social Security as well as pensions and disability payments area all considered income.  Social Security will not ask for proof of income when you submit the application for benefits.  They can easily check the information you provide to them.  They will notify anyone who needs to submit more information to process your request.

MSP 2019 Quick guide 2019 – click here

Ways to apply for benefits:

application MSP Connecticut 2019 – click here

Clients can either mail applications to:
DSS ConneCT Scanning Center
P.O. Box 1320
Manchester, CT 06045-1320
Or, speak to a representative at 2-1-1.  The representatives are available 24 hours a day every day.  You can also call a Choices health insurance counselor at 1-800-994-9422.

If you would like to sell health plans:

Click here for agent contracting kit