Can Medigap Coverage Be Denied? Insights from a Medicare Supplemental Agency in Highland, Indiana

If you are thinking about buying a Medicare supplement plan (or Medigap), you probably have some concerns on your mind about being denied coverage. You are certainly not alone — these are valid concerns, but the good news is that you don’t have to be confused or stressed. This Medicare supplement agency in Highland, Indiana is going to explain when and why this can happen, and what you can do to avoid it.

Why You Could Be Denied Medigap

You could have your Medigap plan denied for a number of health-related reasons. These plans help you cover those healthcare costs that Original Medicare – Parts A and B – don’t cover. But they are not always guaranteed, especially if you don’t enroll at the right time.

Enroll During the Best Time: Open Enrollment Period

The best time to enroll in a Medigap plan is during your Medicare Supplement Open Enrollment Period. This period lasts for six months and starts the first month you have Medicare Part B. During this six-month period, insurance companies cannot reject you or charge you more for any reason, health-related or otherwise. Since you get guaranteed coverage regardless of your health, this is the best time to enroll in a Medigap plan.

What If You Apply After the Open Enrollment Period?

If you miss your Medicare Supplement Open Enrollment Period, things get a little more complicated. While you can still apply for a Medigap plan, insurance companies can now deny you coverage or raise your rates based only on your health. Some conditions that can lead to a denial are cancer, heart attack, diabetes, obesity, or a previous diagnosis of serious disease.

What About Any Pre-Existing Conditions?

Prior or pre-existing conditions are one of the most common reasons why so many Medigap applications are rejected. Not every insurance company treats pre-existing conditions the same way, however. For example, while one company might reject you because of a heart attack five years ago, another company might be totally okay with it and accept your application. This is why you should shop around and talk to a professional Medicare supplement agency in Highland, Indiana to see what different companies are offering.

Guaranteed Renewal of Your Policy

Once you have your Medigap policy, it is generally guaranteed renewable — so long as long as you keep paying your premiums, your coverage stays active. The only reasons you could lose your coverage are if you don’t pay your premiums on time or lie on your application. Even if your insurance company goes bankrupt, you will have guaranteed rights to enroll in another Medigap plan.

What to Do If You Are Rejected?

If your Medigap application is rejected, it’s not the end of the world because you still have some options. You can consult a professional Medicare supplement agency in Highland, Indiana to help you find a plan that best suits your needs and might accept you despite any condition you had before. Sometimes, even changing your insurance company can help since different companies have different rules, and where one might say no, another one might say yes.

Looking For a Medicare Supplemental Agency in Highland, Indiana?

Figuring out how to enroll in Medigap can be very confusing, but you need to know your rights and options. As a Medicare supplement agency in Highland, Indiana, Senior Care Insurance Services is here to help you with that. Whether you are just becoming eligible for Medicare or facing a denial, we can help you find the right plan for your needs and budget. Contact us today to get started!

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