MedSupp - Pre-existing condition waiting period

Oct 11, 2018

  1. JJ2713
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    JJ2713 Guru

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    Does the 6-month pre-existing condition waiting period apply for MedSupps at any time (OEP or GI) or just when there is health underwriting?
     
    JJ2713, Oct 11, 2018
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  2. goillini52
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    goillini52 MAGA...Eat More Bacon & BUILD THAT WALL!!!

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    We just recently had a thread on this. There are a few companies like Cigna and New Era that have a 6 month waiting period for pre existing conditions on those during their IOEP if they didn't have 6 months of credible coverage before.

    "Preexisting conditions
    These policies will not pay for any expenses incurred for care or treatment
    of a preexisting condition for the first six months from the effective date of
    coverage. This exclusion does not apply if you are applying for and are issued
    the policy under guaranteed issue status; if on the date of application for the
    policy you had at least six months of prior creditable coverage; or, if the policy
    is replacing another Medicare Supplement policy and a six month waiting
    period has already been satisfied. Evidence of prior coverage or replacement
    must be on the application for the policy.
    If you had less than six months prior creditable coverage, the preexisting
    conditions limitation will be reduced by the aggregate amount of creditable
    coverage. If the policy is replacing another Medicare Supplement policy, credit
    will be given for any portion of the waiting period that has been satisfied.

    A preexisting condition is a condition for which medical advice was given
    or treatment was recommended by or received from a physician within six
    months prior to the policy effective date."
     
  3. Todd King
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    Todd King IMO/FMO Owner

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    Also keep in mind that there are certain states that will not allow a company to impose it...such as SC. So, check with your state too.
     
  4. Limozine
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    Limozine Expert

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    Sorry to resurrect an old thread, but I'm in SC and would like a little more information from you MedSupp experts. Here is the scenario: 74 year old female on a supplement (Plan F) wants to move to a cheaper carrier. She's in relatively good health and can answer "No" to all of the health questions. She has recently been treated, however, for some minor issues. IF her app is approved, she won't be subject to the waiting period because of her creditable coverage, correct?
     
    Limozine, Apr 19, 2019
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  5. vic120
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    vic120 Guru

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    No She has current cov and credible cov, Med sup MA, Group, (Not sure but I think I have seen VA count somewhere) counts towards pre ex waiting period

    So if she has had cov for the last 6 months She then would not be subject to waiting period as it is satisfied by prev cov
     
    vic120, Apr 19, 2019
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  6. Todd King
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    Todd King IMO/FMO Owner

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    SC has pretty much always had this rule.
     
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