Medicare supplement plans (Medigap)

medigap insurance

Medigap is insurance to cover your Medicare deductibles & copays

Medicare supplement plans are available for purchase in all 50 states. During your one-time open enrollment window, you are guaranteed the right to purchase Medicare supplement plan, also called a Medigap plan, regardless of your health status. Some features of Medigap plans are:

  • You must have Part A and Part B to buy a Medigap policy.
  • Medicare supplements cover only one person. Your spouse must have his or her own individual policy.
  • You can drop your supplement at any time.
  • Supplements are guaranteed renewable no matter what health conditions you may develop. They can’t be cancelled due to medical conditions.
  • The annual election period in the fall is for drug plans, and does not apply to Medicare supplement plans in any way.

Medicare supplement open enrollment

medicare supplement plans

Medicare Open Enrollment is a one-time window.

Per Medicare’s own Guide to Health Insurance, the best time to buy a supplement policy is during your open enrollment window. This window begins on the first day of your birth month, or the month that you enroll in Part B, and lasts for six months.

During open enrollment, the Medicare supplement company is not allowed to ask you any medical questions, nor can they turn you down for any health conditions. They cannot refuse you a policy or charge you any additional amount due to health conditions, medications yor take or pre-existing illnesses.

After this window passes, however, future insurance companies that you might apply with can accept or decline you based on health, and that is why the handbook states that this is the best time to enroll – because you know you will be accepted if you apply during open enrollment.

Medicare supplement guaranteed issue

Some people delay enrollment into a supplement because they have group health coverage through an employer.  Later when you retire or lose that coverage, you will be given guaranteed issue rights to purchase a policy within the 63 days following the loss of your group coverage. The guaranteed issue window works just like open enrollment, except that is a shorter period of time. The insurance company cannot deny your application for any health reasons.

There are some other circumstances which create a guaranteed issue window as well, such as losing Medicare Advantage coverage when moving out of state. Guaranteed issue rules can vary by state, so be sure to check with a licensed agent who can inform you about the laws that apply in your state. Our agency is licensed in over 40 states, so feel free to contact us if you would like for us to check for you.

You will want to keep any notices from your prior carrier that show proof of your creditable coverage for guaranteed issue and also so that you do not incur the Part D late enrollment penalty.

Medicare supplement – Underwritten

medigap_underwritingIf your window has already passed for open enrollment or guaranteed issue, you can still apply for a Medicare supplement, but you will have to answer some health questions on your application. The insurance company can accept or decline you.

Some people are confused by this because they believe the Annual Drug Election Period in the fall is a time when they can change their supplement without underwriting. Unfortunately, the autumn election period only applies to drug plans.  Changing Medigap carriers will require underwriting in most cases.

Medicare Supplement plan options

Since there are several standardized plans available to you in each state, you will want to think carefully about which one fits your needs the best.  Don’t hesitate to contact our agency for more information and quotes for all of the companies that offer plans in your area. Call (855) 732-9055 below or click below for help.

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To continue learning about Medicare and supplements, go to our Medicare Supplement Comparison Chart.