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MIDSOUTH HEALTHCARE

 


OPEN-ENROLLMENT EXPLAINED

 


 

In 1991, the ability to purchase insurance was made easy by a new law for people about to become eligible for medicare due to disability or reaching age 65

Prior to 1991, everyone who reached age 65 had to qualify for their medicare supplement coverage, and many could not do so because of a pre-existing health condition.

When the new open-enrollment laws came into effect, an "OPEN WINDOW OF 6 MONTHS" was provided during which no health questions could be asked by any company, and the coverage being applied for was guaranteed to everyone at standard rates, reguardless of their health.

The law also provides "
Guaranteed Issue Rights" to people who continue to work and keep their group coverage after age 65, provided they lose their coverage in some fashion through no fault of their own at some later date (employer discontinues plan, plan automatically terminates at age 65, carrier withdraws coverage, or goes bankrupt, ect.) 

However, if coverage is "voluntarily" discontinued beyond their open enrollment period provided at age 65, "Guarenteed Issue" rules do not apply, and the applicant must "QUALIFY" for medicare supplement coverage by being in reasonably good health.

See your "Guide to Medicare" developed by " The Center for Medicare and Medicaid Services and the National Association of Insurance Commissioners", for more details.

 

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