CarePartners of Connecticut
- Company typePrivate
- Founded2018
- HeadquartersRocky Hill, United States
- Headcount11–50
- GTM typeB2C
- OfferingServices
CarePartners of Connecticut firmographics
Firmographics- Name
- CarePartners of Connecticut
- Legal name
- CarePartners of Connecticut, Inc.
- Website
- https://carepartnersct.com
- Company type
- Private
- Founded year
- 2018
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Ownership category
- akta.pro rank
CarePartners of Connecticut industry classification
Industry- Product category
- Medicare Advantage Insurance
- NAICS
- Direct Health and Medical Insurance Carriers (524114), Direct Life, Health, and Medical Insurance Carriers (52411)
- SIC
- Hospital & Medical Service Plans (6324)
- akta.pro primary industry
- Medicare Advantage (MA) Plans (FSAIAGAA)
- akta.pro secondary industries
- MA Prescription Drug Plans (MA-PD) (HLAEACAF), Medicare Dental & Vision (MA Embedded & Supplemental) (FSAIAHAJ)
Keywords
Where CarePartners of Connecticut is headquartered
LocationHeadquarters
- HQ city
- Rocky Hill
- HQ country
- United States
- HQ region
- North America
Offices2 records
Markets served
CarePartners of Connecticut business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Marketing or Sales, Technology or R&D, Others
Revenue model
- Medicare Advantage Premium Revenue: CarePartners of Connecticut generates revenue through Medicare Advantage plan premiums. The company offers HMO and PPO plans with $0 monthly premiums. Revenue is derived from Medicare capitation payments and member premiums based on plan selection.
- Part D Prescription Drug Revenue: The company provides Medicare Part D prescription drug coverage through pharmacy benefit manager OptumRx. Revenue includes premiums for drug coverage and potential cost-sharing from formulary tier placements.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | 2026 CareAdvantage Preferred (HMO) Plan - $0 premium option |
| Subscription | Monthly | Low Income Subsidy Premium Structure (2025) |
Go-to-market motion2 records
Distribution channels4 records
Marketing channels7 records
CarePartners of Connecticut product offering
Product offeringCore offering
CarePartners of Connecticut sells Medicare Advantage health insurance plans to Medicare-eligible Connecticut residents, offering both HMO (CareAdvantage, including the CareAdvantage Preferred $0-premium option) and PPO (CarePartner Access) products. Plans bundle medical coverage with Part D prescription drug benefits via OptumRx, dental coverage, over-the-counter allowances, wellness and weight-management allowances, medication therapy management, and a member discounts/extras program, all coordinated through an integrated provider network anchored by Hartford HealthCare.
Product overview
CarePartners of Connecticut is a not-for-profit Medicare Advantage insurance company offering two main plan types: CareAdvantage HMO and CarePartner Access PPO. Both plans provide comprehensive medical coverage beyond Original Medicare. The company integrates dental coverage, prescription drug benefits through OptumRx, medication therapy management, over-the-counter benefits, and wellness allowances. Additional member services include a CMS-compliant interoperability API for third-party app data access, HEDIS quality reporting, and a discounts program covering meals, wellness services, and home care.
Differentiator
Problem solved
Functional benefit
Brands
- CareAdvantage: HMO Medicare Advantage plan offering comprehensive medical coverage beyond Original Medicare with a primary care physician to coordinate care.
- CarePartner Access
- CareAdvantage Preferred (HMO)
Products and services
- CareAdvantage (HMO) Plan Medicare Advantage HMO plan offering comprehensive medical coverage beyond Original Medicare for Medicare-eligible Connecticut residents. Members select a primary care physician who coordinates care and provides referrals to specialists within the CarePartners network.
- CarePartner Access (PPO) Plan Medicare Advantage PPO plan offering comprehensive medical coverage with greater freedom to see different doctors, including out-of-network providers, for Medicare-eligible Connecticut residents. In-network services generally have lower costs than out-of-network services.
Companies that use CarePartners of Connecticut
Customer profileNamed customers1 record
Segments1 record
Ideal customer profiles1 record
CarePartners of Connecticut technology and API
TechnologyTechnology focussed No
API detail
- Has API
- Yes
- API docs
- API detail
Core technology
AI maturity
App detail
Integration13 records
Feature4 records
CarePartners of Connecticut partnerships and signals
Strategic signalPartnerships
Ten partnerships are on record, tiered major, core and flagship.
- Prime HealthCaremajorPartnership effective May 1, 2025 includes 21 locations, 62 unique providers across 6 specialties (Internal Medicine, Family Medicine, Endocrinology, Gastroenterology, Pulmonology, Urology), and 35 PCPs.
- UMass Memorial HealthmajorPartnership effective June 1, 2025 includes hospitals: UMass Memorial Medical Center (Worcester, MA), Harrington Hospital, Baystate Wing Hospital, Health Alliance-Clinton Hospital, Marlborough Hospital, and Milford Regional Medical Center. PCPs not included, but specialists included.
- Trinity Health of New EnglandmajorFormal partnership agreement effective immediately (March 28, 2025) includes St. Francis Hospital, St. Mary's Hospital, Johnson Memorial Hospital, Mount Sinai Rehabilitation Center, Mercy Medical Center (MA), plus urgent care, ambulatory surgical centers, home health, hospice, skilled nursing, and ambulance services. Credentialing for 1,200+ providers underway.
- Southern New England Healthcare (SoNE Health)majorPartnership agreement signed effective January 1, 2025. SoNE Health brings approximately 450 providers (400 in CT, 50 in MA) to expand the provider network. Credentialing process underway for all providers.
- OptumRxcoreBeginning January 1, 2023, CarePartners of Connecticut partnered with OptumRx as their Pharmacy Benefit Manager (PBM) to administer pharmacy benefits. OptumRx provides a network of over 67,000 pharmacies nationwide, home delivery pharmacy, and specialty pharmacy services.
- Yale New Haven Health and Yale MedicinemajorAdded approximately 700 PCPs and 1,450 specialists to the network plus 5 hospitals (New Haven, L&M, Bridgeport/Milford, Greenwich, Westerly). Providers participate in both HMO and PPO plan networks.
- ProHealth PhysiciansmajorAdded approximately 230 PCPs and 110 specialists to the network effective October 1, 2022. Providers participate in both HMO and PPO plan networks.
- 1up.healthcoreAPI provider enabling CMS Patient Access Rule compliance, allowing CarePartners of Connecticut members to access their health data via third-party applications through standardized API integration.
- Hartford HealthCareflagshipCarePartners of Connecticut was formed by Hartford HealthCare (Connecticut's most comprehensive, fully integrated health care system) and Tufts Health Plan. Hartford HealthCare provides clinical expertise and provider network integration for the Medicare Advantage plans.
- Tufts Health PlanflagshipTufts Health Plan, with over 20 years of experience offering top-rated Medicare insurance products, partnered with Hartford HealthCare to form CarePartners of Connecticut, bringing insurance expertise and Medicare plan administration.
Scale indicators5 records
Recent moves6 records
Expansion highlights4 records
CarePartners of Connecticut competitors and assessment
Company assessmentBroad incumbents
- Humana: National Medicare Advantage leader with significant Connecticut membership. Competes on $0 premium plan designs, HMO/PPO options, and dental/wellness supplemental benefits that mirror CarePartners' value proposition.
- UnitedHealthcare: The largest Medicare Advantage insurer nationally with substantial Connecticut presence offering AARP-branded MA plans. Competes head-to-head with CarePartners in CT and represents the primary scale competitor with vastly larger member base and marketing budget.
- Aetna (CVS Health): National Medicare Advantage carrier with strong Connecticut footprint and CVS Health retail integration. Offers HMO/PPO MA products overlapping CarePartners' plan designs and competes directly for broker-led Medicare-eligible consumers.
Direct peers
- ConnectiCare: Connecticut-based Medicare Advantage and health insurance plan offered through EmblemHealth. Directly competes with CarePartners in the same Connecticut counties with similar HMO/PPO Medicare Advantage products and provider network strategies.
- Tufts Health Plan: Sister organization under Point32Health and co-founder of CarePartners of Connecticut. Shares Medicare Advantage expertise, administrative infrastructure, and Tufts Medicare Preferred branding model that CarePartners adapts for the Connecticut market.
- Anthem Blue Cross Blue Shield of Connecticut: Regional Blue Cross Blue Shield licensee serving Connecticut with Medicare Advantage products under the Anthem brand. Direct competitor sharing the same state geography and provider network overlap with Hartford HealthCare and other CT systems.
Emerging players
- Devoted Health: Tech-enabled Medicare Advantage plan focused on senior care with comparable $0 premium HMO designs and heavy emphasis on member experience technology. Represents the emerging direct-to-consumer MA model that CarePartners also targets through its digital stack.
- Clover Health: Technology-forward Medicare Advantage insurer using data analytics and its Clover Assistant platform to coordinate care. Comparable focus on digital infrastructure and care coordination, though operates at different scale.
Regional players
- Blue Cross Blue Shield of Massachusetts: Regional Blue Cross plan offering Medicare Advantage in Massachusetts with similar not-for-profit, provider-partnered structure to CarePartners. Serves the adjacent New England market with overlapping referral patterns from CT border counties.
- WellCare (Centene): Medicare Advantage-focused subsidiary of Centene Corporation with presence in Connecticut. Targets similar dual-eligible and low-income subsidy populations that CarePartners serves with $0 premium plans across all LIS levels.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat4 records
Key risks6 records
Key highlights7 records
Customer concentration
CarePartners of Connecticut social profiles
Digital presenceCarePartners of Connecticut compliance and trust
Trust signalCompliance4 records
CarePartners of Connecticut financial estimates
Financial estimateRevenue estimate
Valuation estimate
CarePartners of Connecticut leadership team
Management profileNumber of profiles
CarePartners of Connecticut funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
CarePartners of Connecticut M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about CarePartners of Connecticut
What does CarePartners of Connecticut do?
CarePartners of Connecticut sells Medicare Advantage health insurance plans to Medicare-eligible Connecticut residents, offering both HMO (CareAdvantage, including the CareAdvantage Preferred $0-premium option) and PPO (CarePartner Access) products. Plans bundle medical coverage with Part D prescription drug benefits via OptumRx, dental coverage, over-the-counter allowances, wellness and weight-management allowances, medication therapy management, and a member discounts/extras program, all coordinated through an integrated provider network anchored by Hartford HealthCare.
Is CarePartners of Connecticut a public or private company?
CarePartners of Connecticut is a private company. It is classified as corporate owned and is currently operating.
When was CarePartners of Connecticut founded?
CarePartners of Connecticut was founded in 2018. It employs 11 to 50 people.
Where is CarePartners of Connecticut based?
CarePartners of Connecticut is headquartered in Rocky Hill, United States, in the North America region.
How does CarePartners of Connecticut make money?
Two revenue lines are on record. Medicare Advantage Premium Revenue is the primary driver. The others are part D Prescription Drug Revenue.
Who are CarePartners of Connecticut's main competitors?
Broad incumbents on record are Humana, UnitedHealthcare and Aetna (CVS Health). Direct peers are ConnectiCare, Tufts Health Plan and Anthem Blue Cross Blue Shield of Connecticut. Emerging players are Devoted Health and Clover Health. Regional players are Blue Cross Blue Shield of Massachusetts and WellCare (Centene).
Does CarePartners of Connecticut have an API?
Yes. CarePartners of Connecticut provides a patient data API in compliance with CMS Interoperability and Patient Access final rule. The API allows Medicare Advantage members to access their health information via third-party apps. Technical documentation is available through 1up.health, supporting standard CMS R4 APIs for patient access. Members can connect to the API to retrieve their data through their preferred third-party application. Developer documentation is at 1up.health/docs/api/rest-api-reference.
What industry is CarePartners of Connecticut in?
CarePartners of Connecticut's product category is Medicare Advantage Insurance. Its primary akta.pro industry code is FSAIAGAA, Medicare Advantage (MA) Plans, with a secondary code of HLAEACAF, MA Prescription Drug Plans (MA-PD). Its NAICS code is 524114 and its SIC code is 6324.