**DSS Field Offices are now open Monday, Tuesday, Thursday and Friday, from 8 a.m. to 4 p.m.

**DSS Field Offices and our staffed telephone Benefits Center (1-855-6-CONNECT or 1-855-626-6632) are closed on Wednesdays to allow our staff time to process applications, renewals and related work.

**24/7 access: Customers can access benefit and application information, at www.connect.ct.gov and www.ct.gov/dss/apply; or our automated Client Information Line at 1-855-6-CONNECT (1-855-626-6632). More about 24/7 access options at www.ct.gov/dss/fieldoffices.

Medicare Savings Program

Apply

Application for the Medicare Savings Programs

It’s easy to apply for the Medicare Savings Programs. All you need to do is complete an application titled “Medicare Savings Programs Application/Redetermination,” which is also available in Spanish. It does not cost anything to apply for this program. 

Medicare Savings Program Application (W-1QMB) - Word

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

 Please mail the application/redetermination to:

DSS ConneCT Scanning Center

PO Box 1320

Manchester, CT 06045-1320