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News
She's 65 and on Her Husband's Company Plan. It's Had 12 Employees for Years, and That Makes Medicare Primary Whether or Not She Enrolls.
4+ hour, 10+ min ago (843+ words) She has creditable coverage, her husband is still working, and she hasn't missed a single enrollment deadline. A quirk buried in Medicare's coordination-of-benefits rules means her medical bills could still leave her on the hook for tens of thousands of…...
His Medicare Advantage Trial Right Lasted 12 Months. At Month 14, Medigap Could Say No.
3+ week, 2+ day ago (426+ words) New Medicare Advantage enrollees get a 12-month federal trial right to switch back to Original Medicare and buy any Medigap plan without medical underwriting. After month 12, Medigap insurers in most states can deny coverage or charge higher premiums based on…...
In All but Four States, a Diabetes Diagnosis Can Lock You Into Medicare Advantage
3+ week, 6+ day ago (432+ words) Missing the 6-month Medigap enrollment window at 65 allows insurers to deny coverage or charge more based on pre-existing conditions like diabetes. Only 4 states offer meaningful Medigap protections beyond the federal window: Connecticut, New York, Massachusetts, and Maine. Most beneficiaries are…...
The Six Months When Medigap Can???t Say No May Come Only Once. Many People Learn That Years Too Late.
4+ week, 20+ hour ago (659+ words) The Medigap Open Enrollment Period is a one-time six-month window at 65 when insurers must sell any policy without denying coverage or raising premiums due to health. Original Medicare has no annual out-of-pocket cap, leaving retirees exposed to costs like a…...