*SNAP Recipients: Starting in January 2023, DSS will be texting renewal reminders to recipients who need to submit their renewal forms. Texts will come from the DSS Benefits Center phone number (855-626-6632). Texts will be strictly informational. They will NOT ask for identifying or personal information. Click here for more information.

*Don’t miss important news about your benefits: Update your contact info online now! Visit Update Us (ct.gov)

*24/7 access to DSS: Already a DSS client? Use the MyDSS mobile-friendly app: www.ct.gov/mydss. Apply & renew services at www.connect.ct.gov, plus get benefit status, notices, report changes, upload/send documents & more!

Medicare Savings Program


You can apply for these benefits by completing a state application form. This form can be done online, mailed, or dropped off at a local DSS Regional Office. For a list of local offices, please follow this link.  You can also authorize someone else to do the application paperwork for you.

To apply online, please visit www.connect.ct.gov, under ‘Apply for Benefits.’

If you wish to apply for Medicare Savings Plan ONLY, please complete application titled “Medicare Savings Programs Application/Redetermination” below:

Medicare Savings Program Application (W-1QMB)

Formulario de Renovación de programas de ahorro de Medicare (W-1QMBS)

If you wish to apply for the Medicare Savings Program and additional programs such as: SNAP (food stamps), Medicaid for Employees with Disabilities (MED-Connect), Medicaid for the Aged/Blind/Disabled (HUSKY C), and/or cash assistance, you can download this application: 

W-1E Application for Benefits

W-1ES Solicitud de Beneficios

You have the right to a copy of the completed application. You can request a copy from DSS at any time in either in electronic or paper format.

For additional information on how to apply, please visit www.ct.gov/dss/apply.