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Medicare Supplement Guaranteed Issue rights

What does it mean to have a Guaranteed Issue Right?

With a Medigap plan in most cases, you will have to medically qualify to be able to enroll in a plan.

 

Below are the 7 standard guaranteed issue rights that allow you to enroll into a Medicare supplement without the need to health qualify.

 

Some states have additional guaranteed issue rights.

The 7 Guaranteed Issue rights are:

  • Moving out of your coverage area of a Medicare Advantage Plan.

  • Your current Medicare Supplement company goes bankrupt.

  • You were misled by the insurance company or your agent.

  • You are on a Medicare Select plan and move out of the coverage area.

  • You lose employer coverage at no fault of your own, involuntary.

    • This usually includes retiring.​

  • Trial Right:

    • There are 2 trial rights​

      • You turn 65 and start your Original A and B and enroll into a Medicare Advantage plan; within 12 months of the plan starting you can go back to Original Medicare and enroll into a Medigap plan without underwriting.

      • Upon turning 65 you take Medicare A and B along with a Medigap. At a later time in your life, you decide to try a Medicare Advantage plan. once the Advantage plan starts you have 12 months to disenroll and return to the company and plan you left.

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