When you first turn 65, you become eligible for Medicare. At that time you must decide if you should sign up for Medicare Part B. If you elect to sign up for Medicare Part B then you enter into a one-time opportunity; the Medigap Enrollment Period. During that time, seniors can apply for Medigap insurance, but they cannot be turned down. That guarantee ends when the open enrollment period ends. Medigap policies help seniors buy additional coverage that portions of your health care costs that are not covered by Medicare. Those include co-payments for doctor’s visits, out-of-pocket expenses, and other costs that seniors must pay for health-related care.

How To Apply

Insurance companies use the same underwriting process to approve Medigap policies that they use to sell traditional insurance plans. While the Open Enrollment period is in effect seniors still have to apply, but that long list of pre-existing conditions does not apply. What this means for seniors is that they can buy added coverage to help them save money without being turned down. During your Open Enrollment Period, you can purchase any Medigap policy that is offered by insurance companies in your state. As long as you can pay the premiums you cannot be turned away, or barred from coverage because of existing health conditions. The good news for seniors is that the premiums during this period are the same as they are for younger, healthier people. No price gouging.

When Does The Medigap Open Enrollment Period Begin?

The Open Enrollment period begins once you enroll in Medicare Part B. It is also a one-time deal. Medicare will not reopen the period once it expires. In so doing, seniors are given a limited amount of time to enroll Medigap without risk of being denied coverage. As mentioned above, even though seniors have to apply, their application cannot be denied, and they are not charged additional premiums due to the condition of your health. Connect One Health wants to make sure the seniors understand the benefit of the Open Enrollment Period for Medigap plans.

Once the Open Enrollment Period ends, seniors can be turned down for Medigap policies. They can also be approved with additional premiums for pre-existing health conditions. Those additional premiums can drive up the cost of Senior insurance. The reason the Medicare Program initiates the Open Enrollment Period is to allow seniors to have access to cost saving insurance without penalty for the condition of their health. Medigap works with Medicare Part A and Medicare Part C. For new Medigap policies; Medicare Part D services are not included.

The lesson here is that Medigap can help seniors save money each month. Each senior must have their own Medigap policy, so spouses cannot share a policy.

The choice to choose a Medigap policy, which is not the same as a Medicare Advantage policy, can be difficult. If you have questions, Connect One Health is here to help. Our Medicare technicians are knowledgeable and friendly, and they provide answers to your questions. Our goal is always that you are happy with the choices that you make. Call us today.