Medigap 101
Medicare Supplement policies, also known as Medigap policies, are health
insurance policies sold by private insurance companies that are meant
to fill in the ‘gaps’ from original Medicare coverage. It can be tough
when choosing the right policy to fit your needs. We always recommend
allowing a licensed insurance professional assist you in finding the
right plan. Below is a brief overview of Medigap coverage.
A Medigap policy helps to cover part of Medicare-approved amounts left
behind by Original Medicare. Medigap insurance companies are only
allowed to sell what are called “standardized” policies. These policies
are identified by the letters A through L and all must offer the same
basic benefits, no matter which insurance company sells them. Cost is
usually the only difference between different insurance companies’
policies.
You are guaranteed the right to purchase a Medigap policy when you are
in your open enrollment period and also when you have a guaranteed issue
right. Your open enrollment period is a six month window starting on
the first day of the month in which you turn 65. During this time, an
insurance company cannot use medical underwriting, which means they
cannot refuse to sell you any Medigap policy they sell, make you wait
for coverage to start, or charge you more for a Medicare Supplement
policy because of your health problems. Insurance companies will allow
you to apply for Medigap policies in the three months before your birth
date; however, the Medigap policy will not go into effect until you are
enrolled in Original Medicare.
Your guaranteed issue rights are rights you have in certain situations
when insurance companies are required to sell or offer you a Medigap
policy. One instance of guaranteed issue rights is if you have Original
Medicare as well as an employer group health plan or union coverage that
pays after Medicare pays. In this case, you would have a 63 day window
from the date your other coverage ends to be put on a Medigap policy.
At Keith Williams Insurance Associates, we would love to help make this
process easier for you or your loved ones. We can find you the right
plan for the right price. If you or a loved one would like more
information about Medigap insurance, contact our office and allow us to
meet with you and assist you in becoming better informed.
Keith D. Williams
Keith Williams Insurance Associates