On this page, we're asking about whether the people in your household are on Medicare

You may want to have their Medicare card to answer these questions.

Enter the effective date printed on your Medicare card.

Medicare Claim Number/Medicare Beneficiary Identifier

Enter your Medicare Claim Number/Medicare Beneficiary Identifier. This can be found on the front of your Medicare card. If you don't have your Medicare Card with you, leave these fields empty.


To continue, click the NEXT button.


To go back to the prior page, click the PREVIOUS button.


To save the renewal or exit the page, click the SAVE & EXIT button. This takes you to the SAVE and EXIT screen where you have a choice of saving or continuing to work on the renewal.


To close this window and return to ConneCT, click the CANCEL & EXIT button.