Medigap Insurance of Pre-Existing Conditions

Medigap Insurance of Pre-Existing Conditions

People often ask when is the best time to enroll in a Medicare supplement plan 2019 (Medigap). My answer is always the same: if you want to have most of the policies available, and especially if you have health problems, you must enroll in a policy the first time you are eligible for your Medigap enrollment phase. This is the period during which you have guaranteed issue rights, and Medigap insurers cannot refuse coverage, require a medical subscription or charge you a higher premium if you have health problems.

The open enrollment period of Medigap will start automatically when you are at least 65 years of age and you have Part B of Medicare. Outside of this period, you have guaranteed rights only in certain situations.  It should be noted that Medigap insurance, even if registered with guaranteed issuance permits, may mean you can wait up to 6 months before you meet your current conditions. Pre-existing conditions are health problems you had before you started the insurance policy. This delay in coverage is known as the existing conditional waiting time.

If you have guaranteed the issue rights, federal law prohibits the insurer from denying you coverage or allowing you to wait until your Medigap coverage begins. However, many people are surprised to know that there is a wait before certain conditions are met, even if they sign up during the open phase of Medigap registration.

Under the Act, supplemental Medicare policies may delay coverage only for health conditions diagnosed or treated within 6 months prior to the start of the Medigap Directive. This is called period of look back. This is the time when a Medigap policy will “look back” to delay insurance for some health conditions.

During this 6-month waiting period, you are still insured for all of the Medicare-covered benefits you receive under the pre-existing situations of Original Medicare plan, Part A and B, out-of-pocket costs such as co payments and co insurance if you seek treatment for an excluded condition. At the end of the pre-existing waiting period, the Medigap policy will cover the cost of these health conditions.  What does that mean to you? If you join a Medicare supplement policy and have recently been diagnosed with health in the last 6 months, you should find out if the Medigap Policy requires an existing condition. If so, you may want to budget a backup and co insurance cost, since the policy may not cover the cost sharing for up to 6 months. If you change the Medicare supplement policy and your brand new policy delays insurance for pre existing situations, you may need to schedule medical appointments and treatments for those conditions before changing the policy, if possible.  Terms and changes in Medicare supplemental policies  If you switch from one Medicare supplemental policy to another, keep your current coverage until your new Medicare supplement policy confirms the validity of your coverage.  The descriptions of products and services provided on the Medicare websites do not constitute sales offers or requests related to a product or service.