Trading up/down within a MedSup plan

Dec 22, 2007

  1. Agentman
    Offline

    Agentman New Member

    Posts:
    2
    Likes Received:
    0
    Does anyone know if a policyholder can trade up or down "within" a company's MedSup without any pre-x questions? (eg. A to C ... or F to A)
     
    Agentman, Dec 22, 2007
    #1
  2. GreenSky
    Offline

    GreenSky Guru

    Posts:
    15,340
    Likes Received:
    446
    State:
    Nevada
    If you mean "without underwriting", then they definitely can't go up and most carriers won't allow you to go down either.

    The reason for this is that the reason a person might want to downgrade is because they are want to save money. From a carrier standpoint, they are providing essentially the same benefit (ie. Plan F to Plan C) at a reduced premium. Or they can get $300+ for Plan F vs. Plan D and only have to pay the Part B deductible so they profit by about $165 for doing nothing.

    Hope that is clear and makes sense.

    Rick
     
    GreenSky, Dec 22, 2007
    #2
  3. Agentman
    Offline

    Agentman New Member

    Posts:
    2
    Likes Received:
    0
    Thanks for the input. I was looking at HIPAA portability regs and it seems that Medsup policyholders should be able to switch carriers without underwriting if they have had continuous coverage like any other health plan. Do you know if Medsup is excluded from this?
     
    Agentman, Dec 26, 2007
    #3
  4. GreenSky
    Offline

    GreenSky Guru

    Posts:
    15,340
    Likes Received:
    446
    State:
    Nevada
    Yes, they can change plans without pre-ex but in most cases must pass underwriting.

    Rick
     
    GreenSky, Dec 26, 2007
    #4
  5. senior-advisor-indiana
    Offline

    senior-advisor-indiana Guru

    Posts:
    11,251
    Likes Received:
    162
    State:
    Indiana
    Mr. Greensky is correct. Also, Medicare alone counts as creditable coverage. Unless you are in a state like Missouri or the prospect is in a GI enrollment period then health questions will have to be answered.

    Here in IN there is no such thing as pre ex on supps. They either accept you and pay everything or they tell you to take a hike.
     
Loading...