Switiching medigap plans question

[Winter_123]

If someone is taking a Med Supp for the first time it is at the discretion of the company if they want to issue the policy and impose a waiting period for any pre-existing conditions. Regardless if the person has prior coverage. However, most companies today will cover pre-existing conditions if the applicant has had credible coverage in the last 63 days.

However, as I have stated before, if one is in doubt do not rely 100% on what is written here, especially if it will put your income or license in jeopardy. Call the company.

Frank,

Thanks.

Even some of what you said can still vary from state to state. For example, in the state of Maine the consumer guide to medicare supplements says:

"If you had prior health insurance coverage and replace it with a Medicare supplement policy, you cannot be made to satisfy a new condition exclusion for similar benefits. This is tre whether the prior policy is group coverage through an employer, individual coverage, or another Medicare policy"

This would seem to say that if you have creditable coverage they have to take you without pre-ex waiting. If you are in a guaranteed issue period but not coming off of creditable coverage they have to issue the policy but can still impose the waiting period. Methinks.

I certainly agree that one must call the carrier but there is also the caveat that many of the support people are completely worthless and you have to know what questions go with the carrier versus when you need to double and triple check not only by asking around by talking to the DOI as well. Note that I did not say to rely solely upon anyone here but dont turn down any knowledge either and then test it with another source.

Thanks again.

Winter

 

[Winter_123]

Frank,
This is tre whether the prior policy is group coverage through an employer, individual coverage, or another Medicare policy"

Winter

Sorry for the typo. Should read "This is true whether"

 

[Guest]

Look...we all know Medicare supps are not guaranteed issue unless first turning 65 or losing employer coverage. Once your time is up you have to qUALIFY.

What about an under-age person on social-security disability and medicare? A few companies will write med sups for this population but plans are very expensive... but drop in price at age 65. When this person turns 65 will they we eligible for GI sup? Or will they have to go through UW of some kind? Anyone know the rules on this situation?

Al

 

[Winter_123]

What about an under-age person on social-security disability and medicare? A few companies will write med sups for this population but plans are very expensive... but drop in price at age 65. When this person turns 65 will they we eligible for GI sup? Or will they have to go through UW of some kind? Anyone know the rules on this situation?

Al

They get another open enrollment period when they turn 65. See page 34 of the "choosing a medicare supp" publication.

Winter

 

[Newby]

What about an under-age person on social-security disability and medicare? A few companies will write med sups for this population but plans are very expensive... but drop in price at age 65. When this person turns 65 will they we eligible for GI sup? Or will they have to go through UW of some kind? Anyone know the rules on this situation?

Al

AMTEX has under 65 Plan F for $104 monthly. Sold one yesterday.

 

[Guest]

They get another open enrollment period when they turn 65. See page 34 of the "choosing a medicare supp" publication.

Winter

Thanks. They still have 5 years to go and right now they are happy with the Blue Cross Freedom One plan (zero prem MAPD). No way they could get through UW right now if I tried to write them a sup.

Al

 

[senior-advisor-indiana]

In IN their is no pre-ex for turning 65 with no prior coverage.

 

[policy doctor]

Man we really know how to whip those horses to death here, don't we?

That's ok....I learned something today. Evidently, no matter how crappy the policy that's being replaced, if it equals or exceeds the pre-existing period of the new policy, the company just bridges that coverage over to the new one. So if client had Plan A or a Mega type policy (like a high deductible) and now wants to buy F or G, coverage is immediate.





Pre-existing applies to new applicants without previous medical coverage .Again this applies for GA.

 

[retread]

Pre-existing applies to new applicants without previous medical coverage .Again this applies for GA.

That's what "creditable" coverage means. If someone has "creditable" insurance, he is not exposed to pre-ex exclusions for the new policy. And by the way, the pre-ex period is 6 months, so if he had only 5 months of "creditable" insurance, he would be liable to a maximum one month pre-ex exclusion, etc.

This is Federal law, not state.

 

[policy doctor]

Agreed......and to all a good night.