Are you aware of the important Medicare changes that will be effective January 1, 2020? It’s important to understand what these changes are and how they will impact your coverage. Let’s take a closer look at the details so you know what to expect.
Medicare Supplement Plan C, F, and HDF/F+ will ONLY be available to those turning 65 prior to January 1, 2020.
- However, it’s still available to you if you were eligible for Medicare Part A prior to this date due to age or disability.
- If you were previously eligible for Medicare Part A due to disability, only the plans approved in your state of residence for under age-65 applicants will be available. This means Plans C, F or HDF/F+ may not be available if you are under age 65.
- If you are turning 65 on or after this date or you will be first eligible for Medicare Part A on or after this date, these plans will NOT be available to you.
You may notice that some Medicare Supplement applications may continue to display the C, F and HDF/F+ selections. If you are not eligible and you select one of these plans on your application, it will be declined by the carrier.
Due to these changes, we anticipate many States will approve a new Plan HDG/G+ effective January 1, 2020.
Still have questions?
If I’m a current policyholder, will I lose coverage or do I need to change plans?
As a current policyholder, there is no action you need to take. You will not lose your coverage and you will not need to make any changes to your existing plan. As long as you pay your premiums on-time, your Medicare Supplement insurance policy is guaranteed renewable.
Why are some Medicare Supplement insurance plans changing?
A new federal law—the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)—affects the availability of Medicare Supplement Plans effective in 2020 and after. As of January 1, 2020, Plans C, F, and HDF/F+ will not be available to anyone who is a newly eligible Medicare beneficiary.
Who is considered a newly-eligible Medicare beneficiary under MACRA?
You are considered a newly-eligible beneficiary if you have either reached age 65 on or after January 1, 2020, or you first become eligible for Medicare Part A benefits due to age, disability, or end-stage renal disease (ESRD) on or after January 1, 2020.
Facts to Know about Your Policyholder Options
- If you are a current Policyholder, you will not lose existing coverage as long as your premiums are paid on-time.
- If you decide to convert to a plan with lesser coverage, you may not have to answer any health questions to complete a policy conversion (health questions are not applicable in New York or Connecticut).
What Medicare Supplement Plans will be available to newly-eligible Medicare beneficiaries?
In the case of newly-eligible Medicare beneficiaries, Medicare Supplement Plans D, G, and HDG/G+ will replace Plans C, F, and HDF/F+. The only difference between Plans C and F and Plans D and G is the coverage of the Part B deductible under Plans C and F, which is eliminated for newly-eligible beneficiaries.
What changes are made to High Deductible Plan options?
A new Plan G High Deductible plan has been created, since Plan F High Deductible is no longer an option for newly-eligible Medicare beneficiaries.
When will the new High Deductible Plan G be available and who qualifies for it?
Once it is approved, the new Plan G High Deductible plan will be available no earlier than January 1, 2020. If you are a newly-eligible beneficiary or a current beneficiary, you will be able to buy the new Plan G on or after that date.
For High Deductible Plan G/G+, does payment of the Part B deductible count toward the plan deductible?
While Plan HDG/G+ does not cover the Medicare Part B deductible, any Part B deductible expenses you pay as a policyholder will be considered an out-of-pocket expense toward meeting your annual Plan G High Deductible.
If I turn 65 before January 1, 2020, will I be eligible to purchase Medicare Supplement Plan C or F when I enroll in Part B, regardless of when that happens?
Yes. If you turn 65 prior to January 1, 2020, you can purchase Medicare Supplement Plans C, F, or HDF/F+ when you enroll in Medicare Parts A and B, even if that is after that date. In addition, if you become Medicare-eligible before January 1, 2020 based on age, disability or ESRD status, you are eligible to buy a Plan C, F, or HDF/F+ when you enroll in Medicare Part A and Part B.
If you turn 65 in November 2019 and are eligible for Medicare, but you continue to work and are covered under your employer group health plan (electing to delay Part B enrollment until after 1/1/2020), you would NOT be considered newly-eligible, because you were 65 and eligible for Medicare before January 1, 2020. However, you would still qualify for Medicare Supplement Insurance Plans C, F, and HDF/F+ once you enroll in Medicare Part B, even if you enroll after January 1, 2020.