Aetna New Medigap “Birthday Rule” Policy for CA

Medigap open enrollment period enacted

by Ray Wilson+ on Jun 28, 2013

Aetna of California just announced that they have updated their process for accepting Medicare Supplement policies, commonly known to most of us as Medigap, as of July 1, 2013. The reason for this is California requires health providers offer an annual open enrollment period for individuals currently enrolled in a Medicare Supplement plan.

Birthday Rule for Medigap in CA

The birthday rule just means that an open enrollment period begins on the insurer’s birthday and concludes 30 days after. Current Medigap holders can switch at this time to another Medigap plan with equal or lesser value/benefits than the one they currently have. If you don’t currently have a Medigap policy go our Medigap Overview Page to sign up today.

Do Pre-Existing Conditions Preclude Me From Switching Medigap Plans?

Nope! Great news. Medical underwriting or preexisting conditions cannot stop you from switching to a Medigap plan that better suits your needs.

When Does My New Medigap Switch Over?

That’s up to you. You can have your new plan effective as of your birthday or up to 90 days after your birthday. Only caveat, and this doesn’t mean anything to you, just a billing issue for Aetna, the date you choose must fall between the 1st and the 28th.

3 Things to Note When Switching Medigap Plans

• Notice to Applicant Regarding Replacement of Medigap form must be completed and signed by both the agent and the applicant.
• Proof of enrollment in a Medigap Plan (copy of member ID card) must be submitted.
• California’s application has not been updated to reflect this change, therefore an agent can offer assistance to make the transition smoother. For help switching your Medigap plan contact 800-930-7956

Any further questions about the “birthday rule” or Medigap plans contact Senior65.

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