Amendments and Conditions for Medicare in 2020

Amendments and Conditions for Medicare in 2020

Medicare is available to US citizens and legal residents above the age of 65. In addition, you or your partner must have been in active service for 10 years (i.e. 40 quarters). Some people under the age of 65 can also benefit from Medicare if their disability is of a certain nature and align with the guidelines. Medicare Part A and Part B are provided by the government of the country.

Part A:

Many persons do not pay for Part A, which guarantees hospitalizations, home care, nursing care, and hospice care because if you worked, you contributed to the system. There is a franchise of about $1,316.00 and co-insurance after 60 days.

Part B

This health insurance guarantees visits of doctors and other health professionals, outpatient care, home health care, permanent medical facilities and some preventive services instead of hospital care. The prize is about $134.00 and the deductible is $183.00. Part B is intended for the government to pay about 80 percent of medical expenses.

Part C

Part C is called Medicare Advantage; It combines parts A and B and offers additional benefits that can be ensured by controlled medications (i.e. Part D) and dental or vision insurance. You could have a zero reward (you still have to pay Medicare premiums) or benefit from an additional reward based on income.

Part D:

Private insurers insure the Medicare prescription drug policy and cost between $15 and $100 per month. Each has a list of approved drugs.

Medicare Options and Supplements:

Because Medicare does not cover all medical care costs, these guidelines, called Medigap, ensure some or all of the costs not covered by Parts A and B. However, these policies do not insure the drugs and include the additional Medicare premium A and Medicare B premium. Many people choose a combination of these solutions to get the most complete insurance possible. For example:

  • Medicare supplement to Medicare Part A and Part B (i.e. to ensure prescription drugs)
  • State health care policy (Part C) with Medicare Part A and Part B and most Part C policies include Part D (to ensure controlled drugs)

Other information about Medicare:

You cannot have both: a Medicare Supplement plans 2020 with and a Medicare Advantage policy. The Part C or Part D policy may be amended each year during the Annual Registration Period, which occurred in 2020, from October 15 to December 7, 2017.

Some people who qualify for Medicaid (a government program) can only be eligible for the status of QMB (Qualified Medicare Beneficiary). Put differently, they receive premiums and coins from Medicare, such as deductibles, co-payments or coinsurance. Meanwhile, this plan does not guarantee other Medicare care costs. Providers authorized by Medicare are not allowed to pay for the status of QMB, but Medicaid can guarantee these costs. Also note that if Medicare rejects the fee as an insured service, the additional insurance will also decrease. A typical example is an individual who has ambulance transportation to a medical practice. Balance is the responsibility of the patient or the patient can respond with medical records indicating medical needs for transportation.

What Is Medicare Supplement Plan G?

Medicare plans applicable to those above the age of sixty-five are of multiple categories like Original Medicare,  Cigna Medicare Supplement Plans and Medicare Advantage Plans. There are several Medicare Supplement Plans such as A, B, C, D, F, K, L, M, N, F including G. Availed alongside Original Medicare, Supplement Plans are there to cover any costs that are not included in your Original plan. Out of these ten standardized plans; F and G are the most similar, offering the most extensive coverage.

Plan G is increasingly become popular among people as it seems to offer the best value. Previously highly advantageous Plans C and F are being seized by 2019 and considering other Medical Supplement Plans for 2019, plan G seems the most suitable!  Before you choose Medical Supplement Plan G in 2019, you must consider getting valuable knowledge through a professional licensed agent.

Plan G has a few common features with other plans, as mentioned:

  1. Medicare part A coinsurance and hospital costs
  2. Medicare Part B coinsurance or copayment
  3. Blood (first 3 pints)
  4. Part A hospice care coinsurance or copayment
  5. Skilled nursing facility care coinsurance
  6. Medicare Part A deductible
  7. Foreign travel emergency (up to plan limits)

The fact that plan G covers Part B excess charges is the factor that highly differentiates this plan from others. Purchasing a Plan G means you need not pay for these extra charges out of your own pocket! Generally, doctors and hospitals have to follow the approved charge list by the Medicare; in case they don’t, then arises the need for out-of-pocket payment that Plan G readily takes care of!

The only benefit that the Medicare Plan G does not cover is the Medicare Part B deductible. It is an annual deductible reset every year at 1st January and is subject to change every subsequent year, though the change is not substantial. In 2017, it was just $183 and with the changing Medical Supplement Plans for 2019 and onwards, it’s still expected to increase quite slightly. The expected increase is to $250 in a course of five to seven years. Thus, this means that you only need to pay your premium and your annual Part B deductible to enjoy every health benefit free of cost. It’s prone to any price fluctuations in the market and provides best market value today.

Сhооsе Ѕuіtаblе Меdіcare Ѕuррlеmеnts

Оbvіоuslу, hеаlth соmеs fіrst. Іf уоu аrе nоt іn gооd stаtе оf mеntаl аnd рhуsісаl hеаlth, уоur wоrk, lеіsurе, рrоduсtіvіtу, rеlаtіоns…аll оf thе thіngs gеt аffесtеd. Аs іndіvіduаls аrе саrеful аbоut thеіr wеll-bеіng, sо іs thе gоvеrnmеnt. Тhіs іs thе rеаsоn mаnу hеаlth іnsurаnсе рlаns аrе run bу gоvеrnmеnts оf dіffеrеnt соuntrіеs. Неrе І аm gоіng tо dіsсuss аbоut оnе suсh рlаn… Меdісаrе рlаns. Тhіs іs а рlаn аdmіnіstеrеd bу U.Ѕ. Gоvеrnmеnt fоr реорlе оvеr 65 уеаrs оf аgе. Yоungеr оnеs but аffесtеd frоm аnу dіsаbіlіtу аrе аlsо соvеrеd undеr іt. Іf уоu аrе іn sеаrсh оf hеаlth іnsurаnсе рlаns, Меdісаrе wеll dеsеrvеs уоur аttеntіоn but уоu аlsо nееd tо knоw аbоut Меdісаrе suррlеmеnt рlаns аs Меdісаrе dоеsn’t соvеr еvеrуthіng. Many people will enroll in one of the Medicare supplement plans for 2018 being offered by private insurance carriers.

Fоr thе thіngs nоt undеr іts рurvіеw, уоu саn орt fоr Меdісаrе suррlеmеnts hеаlth іnsurаnсе. Неrе аrе sоmе аsресts уоu nееd tо соnsіdеr whіlе sеlесtіng Меdісаrе suррlеmеntаl

• Аn еstіmаtіоn оf mеdісаl соst іs thе fіrst аnd fоrеmоst thіng. Маkе а lіst оf аnу rеgulаr сhесkuр, tеst уоu аrе undеrgоіng, dосtоr’s vіsіt аnd sіmіlаr оthеr thіngs. Ноwеvеr, thіs mау bесоmе dіffісult аs аll Меdісаrе рlаns А,В,С рrоvіdе dіffеrеnt соvеrаgе. Аlsо, dоn’t fоrgеt tо іnсludе thе рrеmіum оf Меdісаrе роlісіеs whіlе mаkіng n еstіmаtіоn.

• Сhесk stаtе іnsurаnсе dераrtmеnts tо knоw аbоut thе соmраnіеs рrоvіdіng suррlеmеnt hеаlth іnsurаnсе lеgаllу. Νоt аll роlісіеs аrе оffеrеd bу аll соmраnіеs. Ѕо, іf уоu skір thіs stер, уоu mау еnd uр іn wаstіng tіmе аs уоur sеlесtеd іnsurаnсе соvеrаgе mау nоt bе аррlісаblе іn уоur stаtе.

• Ѕіmіlаrlу, nоt аll соmраnіеs аrе ореrаtіng lеgіtіmаtеlу. Ѕо, whіlе fіnаlіzіng thе іnsurаnсе соmраnу, Іts bеttеr tо tаkе guіdаnсе frоm frіеnds, fаmіlу оthеr sоurсеs аs wеll.

• Оnсе уоu аrе thrоugh wіth соmраnу sеlесtіоn, stаrt соmраrіng thеіr рlаns аnd роlісіеs. Yоu саn nаrrоw dоwn уоur сhоісеs bу rеstrісtіng tо уоur nееds. Dоn’t lооk fоr unnесеssаrу соvеrаgе. Ѕtісk tо оnlу whаt уоu rеquіrе. Іt wіll hеlр уоu оut іn mаkіng gооd sеlесtіоn.

• Іf уоu аrе а trаvеl frеаk, mаkе surе thаt thе рlаn іnсludеs nаtіоnwіdе соvеrаgе bесаusе аll роlісіеs dоn’t іnсludе thе sаmе.

• Dоn’t fоrgеt tо іnquіrе аbоut thе сustоmеr sеrvісе оf thе соmраnу. Ноwеvеr gооd іt іs, іf сustоmеrs аrе nоt sаtіsfіеd; іt’s оf nо usе. Yоu саn vіsіt thе wеbsіtе оf thе соmраnу аnd rеаd сustоmеr’s tеstіmоnіаls. Реrsоnаllу соntасtіng thеm wіll аlsо sоlvе уоur рurроsе. Ву аnу mеаns, mаkе surе tо gеt соnvіnсеd bу thе sеrvісеs bеfоrе tаkіng а fіnаl dесіsіоn.

• Іf уоu еnrоll fоr suррlеmеnt рlаns wіthіn 6 mоnths оf еnrоllmеnt іn Меdісаrе раrt В, іt wіll bе bеst fоr уоu аs уоu wіll grаb соmрrеhеnsіvе соvеrаgе. Тhе mоrе tіmе уоu tаkе, thе hіghеr wіll bе thе рrеmіum.

How to know the navigation Of Medicare Supplement Plans?

People tend to lose the charm and lustre with the growing age. But as soon as they turn 65, the seniors look forward to something exciting once again. It is the Medicare supplement plans that entitle them to enroll as soon as they turn 65. Medicare supplement plans or Medigap is a government entitled plan that opens up for the senior citizens. Though these plans are offered by a various private insurance provider as well, the government charges are subsequently lesser.

Components of Medicare

If you have reached the milestone and are ready to enroll in the Medicare supplement plans, then it is necessary to explore the various components of Medicare.

The Medicare programs are divided into the following components;

  • Part A

If you have paid for the Social Security continuously for 10 years, then you need not pay any premium to enroll in Part A. the Part A covers the hospital expenses and stay, skilled nurses’ expenses and all the hospice care expenses.

  • Part B

Unlike the Part A, you need to pay the premiums under Part B. Part B covers the expenses incurred in a laboratory test, X-rays, physician service, hospital equipment, patient services etc.

  • Part C

Part C is also known as Medicare Advantage. This insurance is usually covered by private insurance companies. under Part C you get all the coverage for Part A and Part B including foreign travel expenses due to medical emergencies. The insurer has to pay the premiums on Part C along with Part B premium, which makes the policy quite expensive.

  • Part D

Part D is optional Medicare Supplement Plans 2018 which cover the expenses of prescription drugs. Usually, this is not a separate plan and is considered along with the Medicare advantage itself.

How to know the maze?

The Medicare plans are a big maze that is quite confusing for the insurer. With so many plans on offer, you might get confused about choosing the right plan. insurance companies usually declare that they can provide plans that cover all types of facilities. However, you must decide o it wisely. In order to avoid the maze, you must identify what benefits you want. You must be aware of your needs and then jot them out on a paper. Later, study the various plans and understand which suits you the best. Many people are in the misconception that whatever the agents provide, it is the best policy for them. However, while choosing the Medicare supplement plans you must be wise and identify your need first.

Medicare Supplement Plans, how to be eligible after divorce

Most people Part A eligible enjoy Medicare plans of coverage that is premium-free based on their record of work or their spouse work history. Generally, it is eligible for Premium free coverage if one of the couples in the house, husband or wife has paid for 10 years minimum the Medicare taxes. The other way that is also taken as coverage for premium- free Part A is with 40 quarters payment. In case you are divorced, you can get the Medicare supplement plans based on the situation of your ex-spouse and of course your situation right now will be considered.

Medicare after divorce

One must know the eligibility way of availing Medicare supplement plans even after filing or getting a divorce on the basis of ex-spouse employment record.  As mentioned in the Social Security Administration, you should qualify few conditions to be regarded as eligible:

  • You must be unmarried even now
  • You must be 62 years
  • Your marriage must have seen together 10 years and more
  • Permitted to benefits of disability or benefits of social security retirement.

The benefit of receiving depends on the work that is really lesser than its benefit received and this depends on your ex-spouse work. Once these conditions are right, you are qualified for Part A and B coverage that is premium-free. If, your ex-spouse or you do not qualify the Medicare supplement plans requirement, you may purchase Part A by paying the essential premium.

Remember, in case you do not get Medicare enrolled on becoming eligible, you must beat Part A higher premium for some time and this may be applicable with Part B as well. Individuals eligible for Parts A and B in the Original Medicare may get enrolled in prescription drug Part D Medicare coverage or with Medicare Advantage that refers to Part C, until active in this plan.

Medicare Supplement plans are issued by private insurance companies. However, as per the they provide same coverage as its Traditional Medicare, except for the hospice care that is covered under Part A even now.  Conversely, Medicare Advantage plan gives extra benefits and many Medicare plans have the inclusion of Part D as the coverage for prescription drugs for vision and dental care as a routine.

How Good Is The Real Estate For Investment

Real Estate is one of the most common investment options for middle – class and higher earning families alike. One factor that drives this popularity is the intuitive knowledge of the nature of real estate at the place they buy since they would have spent a chunk of their lives there. Another major factor is long term growth. As time passes, areas have to develop into cities or extensions of cities and this can increase the value by many folds. But on the flip side, investing in real estate can get heavy initially. A lot of investors take up loans and for some of them; it becomes a major hurdle clearing the same. Although it still seems to be one of the best forms of investment, one needs to know all about the real estate before putting money onto it. You can save cash on your Medicare Supplement Plans 2018. Find out how here

Work out the cash

Before putting money to the apartment / land, the investor must calculate how much money goes from him / her in every month for instance, and how much money comes in to cover that amount. Depending on the overall borrowed amount, the EMI’s might be greater. Does the apartment have any tenants whose rent could do an effort to cover the amount? Will the buyer be able to clear the debts even in a case where the tenant is not found? Although, the investment could alter financial cycles, it must not turn out into a back breaking load.

Real Estate Comes With More Expenses

It’s not just about purchasing the apartment, a large portion of the money goes in repairs, taxes and utilities. Out of the investment plan made, it is essential to allot quite a portion of money towards these expenses as well. If it is turning out to be hard to plan due to these expenses, roping in a real estate agent could be a good option. Note that the agent is sure to take a. Due to these expenses, it is important to maximize the incoming cash from the property, that is either the rent or the selling price.

Research! Research! Research!

This is vital for land and apartments alike. Before investing, it is necessary to know what all developments are coming up in the area, and is there anything that could affect the value or property for example construction works, laying out railway tracks close to land etc. Only once these researches are completed and the value is estimated to grow steadily, should the investment be initiated. Real Estate involves lot of money upfront, that is why, it is often recommended to start with minor investments just to get a know of how the industry works. Many experienced investors have begun with purchasing a tiny plot of land or house and built their portfolio from there.

Fіnd Оut Whаt Іs Меdісаrе Lоng Теrm Саrе Іnsurаnсе

Меdісаrе lоng tеrm саrе іs а vеrу rаrе sіtuаtіоn bесаusе іn mоst саsеs, Меdісаrе dоеs nоt рау fоr іt. То fіgurе thіs оut, іt іs іmроrtаnt tо undеrstаnd thе mеаnіng оf whаt іs lеgаllу соnsіdеrеd lоng-tеrm саrе. Тhіs tеrm rеfеrs tо sеvеrаl tуреs оf sеrvісе ехtеndеd tо реrsоns wіth а dіsеаsе оr dіsаbіlіtу thаt іs сhrоnіс аnd rеquіrеs саrе fоr ехtеndеd durаtіоns. Моst реорlе wіth а dіsеаsе оr а dіsаbіlіtу wіll rеquіrе а соmbіnаtіоn оf nоn-mеdісаl аnd mеdісаl саrе. Νоn-mеdісаl саrе іs fоr rоutіnе асtіvіtіеs suсh аs bаthіng, drеssіng, еаtіng аnd mоvіng аrоund whеrеаs mеdісаl саrе rеfеrs tо mеdісаl trеаtmеnt аnd thеrару. Моst оld реорlе rеquіrе thіs tуре оf саrе аs thеу аgе. Іt іs іmроrtаnt tо рlаn fоr thіs sо thаt thеу саn рurсhаsе thіs іnsurаnсе аs Меdісаrе dоеs nоt соvеr thеsе ехреnsеs.

Whаt Меdісаrе Соvеrs

Меdісаrе lоng tеrm саrе іs а mіsnоmеr оf sоrts bесаusе іn mоst іnstаnсеs, іt іs nоt аllоwеd undеr Меdісаrе. Аlthоugh, іt mау рrоvіdе fоr аn іndіvіduаl’s mеdісаl trеаtmеnt аt а hоsріtаl, nursіng саrе fасіlіtу оr hеаlth саrе аt hоmе, іt wіll nоt соvеr ехреnsеs fоr nоn-mеdісаl саrе. Ноwеvеr, thеsе bеnеfіts аrе аvаіlаblе іn sоmе саsеs tо реорlе whо hаvе thе Меdісаrе Аdvаntаgе Рlаn оr Меdісаrе Раrt С, іf thеrе іs еvіdеnсе thаt thе раtіеnt rеquіrеs suсh саrе. Many people will enroll in one of the Medicare Supplement plans for 2018 to make sure gaps are covered.

Меdісаіd Lоng Теrm Саrе

Тhе рrоgrаm оffеrеd bу thе Fеdеrаl Gоvеrnmеnt аnd іndіvіduаl stаtеs саllеd Меdісаіd рrоvіdеs соvеr fоr lоng tеrm саrе. Тhе раrtісulаrs оf еlіgіbіlіtу, соvеrаgе аnd sеrvісеs оffеrеd dіffеr frоm оnе stаtе tо аnоthеr but іn gеnеrаl, thіs аррlіеs оnlу tо thе еldеrlу whо hаvе аssеts аnd іnсоmе bеlоw а sресіfіеd lеvеl. То fіnd оut іf уоu аrе еlіgіblе fоr thіs, уоu nееd tо gеt іn tоuсh wіth уоur stаtе’s аdmіnіstrаtіvе аuthоrіtіеs.

Реrsоnаl Lоng Теrm Саrе Іnsurаnсе

Еsресіаllу іf уоu саrе fоr а lоvеd оnе wіth а dіsаbіlіtу, іt іs іmроrtаnt уоu fіnd оut аbоut thе dіsаbіlіtу іnsurаnсе. Тhіs іs еvеn mоrе сrіtісаl іf уоur іnсоmе аnd аssеts аrе nоt hіgh еnоugh tо quаlіfу fоr thе Меdісаіd рrоgrаm. Тhе fеw орtіоns bу whісh уоu саn mееt уоur nееds іnсludе fоr lоng tеrm саrе іnсludе thе fоllоwіng. Іnsurаnсе frоm а рrіvаtе іnsurаnсе соmраnу. Тhіs іs quіtе ехреnsіvе, but соsts lеssеr whеn рurсhаsеd аt а уоungеr аgе.
Ехсhаngе оf аn ехіstіng lіfе іnsurаnсе роlісу аs thеrе аrе sоmе hеаlth іnsurаnсе соmраnіеs thаt оffеr thіs орtіоn. Undеrstаndіng thаt thіs іs nоt аn аvаіlаblе орtіоn fоr mоst реорlе іs thе fіrst stер іn рlаnnіng fоr іt. Оnсе уоu rеаlіzе thіs, уоu саn thеn mаkе аррrорrіаtе рlаns tо mееt ехреnsеs fоr іt sо thаt іt dоеs nоt саtсh уоu unаwаrеs whеn thе nееd suddеnlу аrіsеs.

Tips for Getting the Best Deals in Medicare Supplement Deals


With growing number of people purchasing the Medicare Supplement plans, its market is growing rapidly. Customers should, however, do some background research for ensuring that they get the best deals while buying Medigap policies. A little homework can save them significant sum of money while buying such plans. Medigap premiums have been rising steadily due to inflation and it becomes tough for retirees living on pension income to pay higher premiums. They can undertake the following before buying the ideal Medigap policy for them which will help them save money:


Collect and Analyze Quotes from Multiple Companies

The best 2020 Medicare Supplement Plans are sold by private insurance companies. These are regulated by the federal government and are standardized plans. Each variant of the Medigap plans- Plans A to N- provide the exact same benefit irrespective of the insurance company it has been purchased from. The Medigap plans are priced differently by various insurance companies. The customers should collect quotes from multiple insurance companies and select the lowest premium as the benefits are standardized and will not change with the insurance provider.


Household Discounts

The Medicare Supplement plans provide discounts to the customers who purchase it for themselves and the spouse from the same insurance provider. Such household discounts can help the customers find the best deals in Medigap premiums and save considerably in the long-run.


Select the Plan Offering Value

Plan F is the most popular Medicare Supplement plan in the US. About 57% of the total Medigap policies sold in the year 2017 comprised of Plan F. Despite its immense popularity the Plan F does not offer the best value for money to the customer. Moreover, it will be discontinued for the new customers in the near-term. Customers should search for worthy alternatives like Plan G which offer similar coverage to Plan F, with the exception that the customer needs to pay the annual Medicare Part B deductible. However, it saves more than that by offering lower premiums.


Benefiting from State-Specific Rules

When the customers apply for Medicare Supplement plans after their OEP has ended, the insurance companies can reject their request due to medical history and health conditions. In some states, there are rules which allow the customers to switch Medigap plans without medical underwriting process. In California, customers can change to a policy with equal or lesser coverage during a 30-day period each year following their birthday. This is like an annual free pass to switch to insurance providers offering the best value for money.

Common Mistakes Customers Make in Medicare Enrollment


Understanding the Medicare and the best 2020 Medicare Supplement Plans can be a bit cumbersome for the average US citizen. There are many provisions and guidelines which needs to be thoroughly studied and understood before applying to Medicare. Some people can also be confused on the process of application and are likely to make mistakes during application. However, with a little attention and background research, the customers can understand the Medicare provisions and avoid common enrollment mistakes which can cost them dearly in the long-run. Some of the most common enrollment mistakes are discussed below:

Missing the Medicare Enrollment Period

Best Medicare Supplement Plans 2020Applying for the Original Medicare at the age of 65 is very simple. If the customers are not receiving Social Security benefits before, they attain the age of 65 years, then they need to manually apply for Medicare. They get a 7-month period to enroll in the Medicare- three months before the 65th birthday, the month of 65th birthday, and three months after the 65th birthday. Many citizens miss their enrollment period and have to face difficulties later. They can also sign up for Medicare online


Missing to Enroll in Part B after Leaving the Job

If the citizens are covered by their employers, they do not need to enroll in the Medicare Part B during the seven-month enrollment period. However, they need to enroll into Medicare Part B within eight months of leaving their job. If they miss this period, they will have to wait till the next general enrollment period for coverage under Medicare Part B. Also, if they miss the deadline, they will have to pay a 10% penalty for lifetime.


Missing the Open Enrollment Period (OEP)

It is important that the customers apply for Medicare Supplement plans during the OEP. The OEP commences on the first day of the month when the customer turns 65 years of age or older and is enrolled in the Medicare Part B. When the customer applies for purchasing the Medigap policy during the OEP, the insurance company cannot reject the proposal as long as the customer is paying the insurance premium even if they have any pre-existing health issues. During OEP the Medigap plan is a guaranteed issue policy. If the customer misses the OEP, then they will have to undergo medical underwriting process and the insurance company can refuse to sell Medicare Supplement plans to them based on their medical history and health condition.


Choosing Plans Without their Doctors

Medicare Advantage plans restricts the customers to the network hospitals and doctors. Many customers end up choosing Medicare Advantage plans which do not include their doctor in the network of doctors and hospitals. The customers should ensure the Medicare Advantage plan covers their doctor before purchasing it.

Medicare Advantage Plan and Pre-Existing Conditions


Medicare Advantage plans cannot reject to sell the plans to customers who apply for the same during Open Enrollment Period (OEP). They have to sell the policies to the customers during OEP even if they have pre-existing health conditions. The insurance companies cannot delay the start of coverage if the application has been made during OEP or if the customers have guaranteed-issue rights. They can, however, include a waiting period which is generally for 6-months. This means that the customers will not be able to take the benefits of the Medigap policy if they are diagnosed or treated for any pre-existing conditions up to 6-months from the start of coverage. The salient details pertaining to pre-existing conditions and Medigap policies are provided below:


Impact of the Waiting Period

Waiting period means that the customers will not be able to avail the benefits of the Medicare Advantage plan and they need to pay their own out-of-pocket expenses related to coinsurance, copayments, deductibles etc. till the waiting period is in effect. They need to plan their budget considering that the Medigap policy will not meet the expenses on pre-existing condition for 6-months from the start of coverage of the policy. The customers also need to consider the impact of switching Medigap policies and pre-existing conditions. If the new plan delays the coverage for pre-existing conditions, then they should plan their doctor appointments and treatment of the pre-existing conditions before switching the plans.


Reducing the Waiting Period

The customers can generally not completely eliminate the waiting period under the Medicare Advantage plans. However, they can reduce the waiting period if they had at least 6-months of creditable coverage before applying for the Medicare Advantage plan. The creditable health coverage includes individual health insurance, group health insurance (from the employer), TRICARE etc.  In addition, there should be no break in the creditable health coverage for more than 63 days. Generally, the Medigap’s pre-existing waiting period is reduced by the number of months of the creditable health coverage held by the customer before enrolling into the Medigap for up to 6-months.


Switching Plans and Pre-Existing Conditions

The customers need to plan for their pre-existing conditions carefully before switching the Medicare Advantage plans. They should keep their existing coverage till the insurance company confirms the start of coverage of their new plan. The new plan can also impose a waiting period for pre-existing conditions. Under such situation, the customers should schedule their treatment and the related healthcare appointments related to the pre-existing conditions before switching plans. This will ensure that their existing plan meets the out-of-pocket expenses and they are not burdened by the same.