CONNMAP: CONNECTICUT MEDICARE ASSIGNMENT PROGRAM

CONNMAP: CONNECTICUT MEDICARE ASSIGNMENT PROGRAM

The Connecticut Medicare Assignment Program (ConnMAP) is a state program administered by the Connecticut State Department of Social Services (DSS) http://www.ct.gov/dss/cwp/view.asp?a=2353&q=305218#CONNMAP.

ConnMAP ensures that physicians and other Part B providers will not charge ConnMAP enrollees more than the reasonable and necessary rate established by Medicare.

Medicare beneficiaries who meet the program’s eligibility guidelines may obtain a ConnMAP card by submitting an application to DSS. The card is then presented to health care providers prior to treatment. If the service is covered by Medicare, the provider may charge no more than the Medicare approved rate.

Some services supplied by health care providers other than physicians (such as podiatrists, chiropractors, dentists, optometrists, etc.) are covered by Medicare, but many are not. Patients who are not sure whether services are covered should ask the provider before receiving care.

A ConnPACE card is a legal substitute for a ConnMAP card. ConnPACE cardholders do not need to obtain a ConnMAP card if they are enrolled in Medicare Part B.

WHO IS ELIGIBLE?

Enrolled in Medicare Part B
Resident of Connecticut for at least 6 months prior to the date of application
Income: Annual 2009 income under $41,415 for singles, or under $55,770 for couples.

(Income is based on the last complete calendar year. Applicants who were over the income limit in the previous year but have experienced a drop in income in the current year may apply using current year income. For purposes of determining eligibility all income, including Social Security, minus the Medicare Premium, and tax exempt income, is counted.)