“I thought Obamacare said we cannot be turned down for pre-existing conditions! How could I be turned down for Medigap???” This is a question we get regularly so we wanted clarify the situation.
ObamaCare, also known as the Affordable Care Act, has a provision that disallows preexisting conditions to be a factor in insurance approval. But will this affect Medicare Supplemental insurance? No.
Medigap and Preexisting Conditions
Medigap plans are not subject to the new ACA law that requires insurance companies to enroll persons regardless of preexisting conditions. If you enroll during the open enrollment period, Medicare eligible individuals do not have to worry about preexisting conditions. You are guaranteed to be approved. But if you apply outside your initial enrollment period (or SEP), you can be turned down from Medigap just like before.
What Medigap Covers
Medigap fills in the gaps that Original Medicare may not cover. Medigap Plan F can save seniors thousands each year. Medigap covers things like Medicare Part A’s and B’s deductibles, coinsurance, and excess charges, as well as adding extras like foreign emergency care and gym memberships. (Source)
Missed your Medigap Open Enrollment?
You may still be able to switch plans, especially if your state has the Birthday Rule or a similar regulation. If not, switching can be a bit trickier—you’ll need to go through health questions, and approval isn’t guaranteed. Try our AI Medigap Underwriting Checker to gauge your chances. To sign up for a Medigap plan or if you have any further questions call 800-930-7956 or contact Senior65.com.