For older adults with limited income, Medicare Advantage plans, sometimes called “Medicare C” or Medicare Choice seem like an obvious choice because the premiums are lower. However, traditional Medicare and a Medigap supplemental insurance policy may be less expensive in the long run because more deductible and coinsurance costs are covered that way. Since open enrollment runs until December 7, 2015, now is the time to consider a change.
If you are returning to traditional Medicare after a period on Medicare Advantage you may not be eligible for the Medigap policy you had before you switched. Although you would have the right to purchase the same Medigap policy, the insurance company may no longer sell it. If that happens, unless you were under Medicare Advantage for more than a year, you have a guaranteed right to buy a Medigap policy designated A, B, C, F, K or L that is sold in your state. If you had Medicaid Advantage for a year or more or fail to apply within 63 days of the end of your Medicare advantage coverage, you aren’t guaranteed of acceptance to a particular plan. Of course, there would be other plans to choose. Pre-existing conditions would not be a basis to deny you coverage.
John B. Payne, Attorney
Garrison LawHouse, PC
Dearborn, Michigan 313.563.4900
Pittsburgh, Pennsylvania 800.220.7200
©2015 John B. Payne, Attorney