How Do I Change Medicare Supplement With A Pre-Existing Condition?

A Medicare supplement, also known as a Medigap policy, is a private health insurance used in conjunction to a Medicare policy. This policy will pay many of the health care costs that are not covered by Medicare including deductibles, coinsurance and co-payments. A pre-existing condition is a health condition that existed before applying to a health insurance. Examples of pre-existing conditions are hypertension, diabetes, chronic obstruction pulmonary disease (COPD), etc.

Guidelines to Buying Medicare Supplement

When buying a Medicare supplement, there are a few guidelines to adhere to. You must have Medicare Part A and Part B. This policy will only cover you; your spouse will have to purchase their own policy. These policies do not cover prescription drug costs; you will need to purchase a separate prescription drug plan.

Buying a Medicare Supplement with a Pre-Existing Condition

The best time to purchase a Medicare supplement, when you have a pre-existing condition, is during the open enrollment period. This period lasts for 6 months, beginning the first day of the month when you are 65 and enrolled in Medicare part B. During this period, an insurance company cannot make you wait before coverage to begin or charge you a higher premium for a pre-existing condition. If you are changing your Medicare supplement policy and have six months of continuous coverage, you cannot be held to the pre-existing coverage waiting period. You also have “guaranteed issue rights” in which the insurance company is required by law to offer a policy, cannot charge a higher premium and must cover any pre-existing conditions.

What are Guaranteed Issue Rights?

Guaranteed issue rights occur when several factors exist, allowing you to change your Medicare supplement despite having a pre-existing condition.

• Your current policy is leaving Medicare, suspends coverage in your area or you move.
• Your employer group health plan is ending.
• You decide to switch within the first year of joining a Medicare Advantage plan.
• Your Medicare supplement plan goes bankrupt and you lose coverage.
• You decide to switch plans because your Medicare supplement plan mislead you or hasn’t followed the rules.

Related posts:

  1. Will A Pre-Existing Condition Affect Medicare Eligibility?
  2. What Do I Do About My Medicare Supplement If My Needs Change?
  3. When Can I Change Medicare Supplements?
  4. Do I Need To Wait To Change From One Medigap Plan To Another?
  5. Will Medicare Pay For A Pre-Exisiting Condition?

3 Responses to “How Do I Change Medicare Supplement With A Pre-Existing Condition?”

  1. Deidre McNamara says:

    My husband will be 65 in December, retired early because of a disabilty. I work and want to carry him on my policy next year after which I plan to retire. An insurance agent told us that because of his pre-existing condition that he would not be able to qualify for supplemental insurance without qualifying medically. He said it was a new law and he would e-mail me the interoffice information but that I needed to keep it confidential.The social security office said that if my husband notified them within 3 months that he could not be turned down. Can you help clear up what the facts are?
    Deidre McNamara

  2. Stan Coffee says:

    As long as your husband signs up for his medicare supplement policy during his guaranteed issue period, he cannot be turned down. Contact me at 210-538-9872 ands I can help you with your questions.

  3. Dorothy says:

    If my husband switches from a full coverage medicare supplent to a deductible plan with the same company, does he have to qualify medically?

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