Is there a contestable period for Medigap policies as with life insurance?

[steve heller]

If a client has been underwritten and accepted for a Humana Medigap policy, is there a limit to how long Humana has to claim that the client was untruthful in answering the application questions? I'm assuming no obvious fraud but just forgetting about a minor issue that happened some time ago, e.g., "Have you had prescriptions written in the last 2 years?" There are a hundred questions or more and not every senior applicant is going to remember all of those details.

Thanks.

 

[goillini52]

If a client has been underwritten and accepted for a Humana Medigap policy, is there a limit to how long Humana has to claim that the client was untruthful in answering the application questions? I'm assuming no obvious fraud but just forgetting about a minor issue that happened some time ago, e.g., "Have you had prescriptions written in the last 2 years?" There are a hundred questions or more and not every senior applicant is going to remember all of those details.

Thanks.

The contestable period for health insurance is usually 2 years.

 

[DonP]

I've asked that question before . According to big writers of med supp no one could recall a carrier contesting a claim . Has anyone on here seen it ?

 

[rmhaire]

I've asked that question before . According to big writers of med supp no one could recall a carrier contesting a claim . Has anyone on here seen it ?

The short answer is no.

Although there's probably some legal out in the fine print, no one ever sees it. And that's because of the way OM works.

Supplement carriers never post underwrite like some life companies do.

Supplement carriers are regulated by what Social Security says they can do. SS controls Medicare.

Supplements are very simple. If Medicare approves the charge, then the company has to pay.

But to answer the question. In 50 plus years I've never seen it.

 

[steve heller]

The short answer is no.

Although there's probably some legal out in the fine print, no one ever sees it. And that's because of the way OM works.

Supplement carriers never post underwrite like some life companies do.

Supplement carriers are regulated by what Social Security says they can do. SS controls Medicare.

Supplements are very simple. If Medicare approves the charge, then the company has to pay.

But to answer the question. In 50 plus years I've never seen it.

Ok, the underwriting is done before the policy is issued and once it's issued the client is covered as long as he pays the premium.

Is that right? Just checking to be sure.

 

[rmhaire]

Ok, the underwriting is done before the policy is issued and once it's issued the client is covered as long as he pays the premium.

Is that right? Just checking to be sure.

With supplements always before. Never after.

The only out a company could use would be concealment or fraud. But all policies have that.

But based on your original post, is there a particular question on the app that you're concerned about?

 

[steve heller]

With supplements always before. Never after.

The only out a company could use would be concealment or fraud. But all policies have that.

But based on your original post, is there a particular question on the app that you're concerned about?

No, just the general concern of potentially forgetting a prescription or minor procedure like dermatological skin tag removal.

You have answered my concerns. Thanks!

 

[rmhaire]

No, just the general concern of potentially forgetting a prescription or minor procedure like dermatological skin tag removal.

You have answered my concerns. Thanks!

Most companies are doing script checks now. They know more about your client than your client does.

 

[DonP]

The short answer is no.

Although there's probably some legal out in the fine print, no one ever sees it. And that's because of the way OM works.

Supplement carriers never post underwrite like some life companies do.

Supplement carriers are regulated by what Social Security says they can do. SS controls Medicare.

Supplements are very simple. If Medicare approves the charge, then the company has to pay.

But to answer the question. In 50 plus years I've never seen it.

I never thought about that . Good pt . As long as Medicare approves ( which they always will as long as its covered charge) then the med sup must pay.

 

[billyb]

If you are not replacing coverage there could be a waiting period for pre-x.