Medigap Questions

I am really impressed with the insurance company "Boomer Benefits" that specializes in Medicare supplemental policies and is licensed in most states.

The agents do not work on commission so they have no incentive to recommend a policy based on any money they would make.

I'm impressed by Boomer Benefits as well and don't want to pick nits, but to be clear, they are NOT an insurance company.... they are an insurance agency.
 
Some Medigap insurance companies may facilitate this but it’s not guaranteed. Very much depends on the state.

I was referring to California, which was what was quoted in the comment.
 
I think it's interesting that you can get a plan G supplement in CA for less than the one I am looking at in Michigan. I would think that the ability to switch would have a negative impact on costs. I am hesitant to count on insurance companies that currently allow switching w/o underwriting.

The extra cost for G is small for me. I am looking at this an an irrevocable choice. I am currently helping an octogenarian with bill paying with her Advantage plan. Although pretty sharp she finds the co-pays baffling. The providers don't help by failing to post payments and billing her before the insurance payment is received (i.e. guessing at her copay.) One deductible and done would be easier for her at this point. I understand why some people prefer N.
 
Why is it some states allow a person to switch Medicare supplements without underwriting and others do not? I am in NC which requires underwriting to switch plans and I was wondering how to get that rule changed here in NC. Would it require legislation or could it be done through the NC Health Insurance Dept?
 
Why is it some states allow a person to switch Medicare supplements without underwriting and others do not? I am in NC which requires underwriting to switch plans and I was wondering how to get that rule changed here in NC. Would it require legislation or could it be done through the NC Health Insurance Dept?

I would imagine legislation.
 
I just got a quote with plan N being $9.84 less per month than G. Probably cheaper for me right now but not a huge bargain.
 
Moving to another state ... triggers underwriting?

My (birth month-3) is March 2022, so I've been doing research (ie, hours reading the numerous informative threads here) and have decided my most likely course is:

  • Plan G (I don't use much medical care, I want to keep things simple for my dotage, and I travel all over the US)
  • Plan D (my last Rx was a decade ago, so I'll find the cheapest plan to tick the initial enrollment box)
I'll sign up in either TX or FL but within 5 years will move to another state, tbd. And I assume that means that I will have to change Medigap policy to the new state, just as I had to change ACA plans/providers when I moved between states a few years ago.

What is not clear is whether that change -- from Medigap Plan G in state #1 to Medigap Plan G in state #2 -- will trigger underwriting in state #2, even if I have had continuous Plan G coverage from the get-go.

I've asked a couple of Medicare specialist agents in Texas: one said "triggers underwriting" and the other said not ....

Has anyone here had experience with changing states while enrolled in Medigap?
 
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No, you keep your old Medigap plan when you move. No underwriting required.
 
No, you keep your old Medigap plan when you move. No underwriting required.

I think that is true when moving to the vast majority of states, but there are a handful that don't use the standard alphabet soup list of supplements, creating their own specialized plans - Minnesota is an example. Moving there you would probably have to change to one of their plans, but would not have to go through underwriting.

Not sure what other states have similar specialize supplements, but there aren't many who do.

EDIT:

FWIW, here is what Medicare.gov says about the subject:

I'm moving out of state.

You can keep your current Medigap policy no matter where you live as long as you still have Original Medicare.

If you want to switch to a different Medigap policy, you'll have to check with your current or new insurance company to see if they'll offer you a different policy.

If you decide to switch, you may have to pay more for your new Medigap policy. You may also have to answer some medical questions if you're buying a Medigap policy outside of your Medigap open enrollment period.
 
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Doesn't seem very well researched. California definitely doesn't have sky high Medigap rates for 65 year olds.

It's not specific to age 65. Do you have a better list? It seems like there would be one on the web.
 
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It's not specific to age 65. Do you have a better list? It seems like there would be one on the web.


it's up to each state to provide numbers. Some are not so easy to find. California's are easily available.
 
it's up to each state to provide numbers. Some are not so easy to find. California's are easily available.

I think the others are available as well. Most comparison lists show CA as expensive but since you can change to a lower cost plan in CA why would you care about the average
 
To add to the confusion, in some states some companies also offer a "Medigap SELECT" policies which have the same letter designations but has "in network" providers. For a lower premium than the standard of course. From medicare.gov:

A type of Medigap policy that may require you to use hospitals and, in some cases, doctors within its network to be eligible for full benefits.

I would guess that if a person chooses a Medigap select policy the network might end at the state line. I have no experience with them other than seeing them when signing up a few years back. I chose not to be limited to an insurance company's list of Hospitals and/or Drs. Been there, done that when I was on ACA.
 
I think the others are available as well. Most comparison lists show CA as expensive but since you can change to a lower cost plan in CA why would you care about the average

For Hawaii and Arizona, i could only see a list of providers, but not prices, although one can fidn some using automated broker sites like ehealthmedicare, I don't think it will show every provider though.

It's unfortunate that Medicare.gov doesn't show such info, only the range for each plan in a given zip code.
 
To add to the confusion, in some states some companies also offer a "Medigap SELECT" policies which have the same letter designations but has "in network" providers. For a lower premium than the standard of course. From medicare.gov:



I would guess that if a person chooses a Medigap select policy the network might end at the state line. I have no experience with them other than seeing them when signing up a few years back. I chose not to be limited to an insurance company's list of Hospitals and/or Drs. Been there, done that when I was on ACA.

Indeed - I would hope people don't cheap out on those SELECT plans. Seems to have major long term consequences.
 
Rate Increases?

Can anyone give an example of the rate increases they've experienced over the years? Its impossible to guesstimate the future without some historical data and in todays world that might even prove irrelevant.
 
Can anyone give an example of the rate increases they've experienced over the years? Its impossible to guesstimate the future without some historical data and in todays world that might even prove irrelevant.

DW and I have only been on Medicare just over a year. First rate increase was 2.5%, or $7.21, for both of us (UHC/AARP plan G)
 
My DH and I have a G plans. I am with AARP/UHC and my rate increases have been low--maybe 3-5% per year for the last 5 years. DH is with Mutual of Omaha and to start with he had about 3% increases but last year had a 30% increase. DH tried to switch to AARP/UHC but was declined due to his health.
 
My DH and I have a G plans. I am with AARP/UHC and my rate increases have been low--maybe 3-5% per year for the last 5 years. DH is with Mutual of Omaha and to start with he had about 3% increases but last year had a 30% increase. DH tried to switch to AARP/UHC but was declined due to his health.


MIL has been with Omaha plan G for 5 years. Similar experience, initial increases were relatively low, but last two years have been around 15% and 18% increase. No complaints about their service, but I'm shopping around for cheaper companies for her.
 
Increases

UHC being issue aged looks like it proves to be more stable but the numbers I'm seeing for it are so much higher that it seems like it would take years for the other premiums to catch up. I was quoted $116.45 for G from USAA which is age attained compared to $204.49 for the AARP/UHC G. That's almost double. I tried to do some estimated inreases over several years using what I thought would be a reasonable % but I had no idea it might increase as much as 30% in 1 year. How are we supposed to predict the future.
They scare you into thinking you better choose right the first time because you may not be able to change down the road.
 
UHC being issue aged looks like it proves to be more stable but the numbers I'm seeing for it are so much higher that it seems like it would take years for the other premiums to catch up. I was quoted $116.45 for G from USAA which is age attained compared to $204.49 for the AARP/UHC G. That's almost double. I tried to do some estimated inreases over several years using what I thought would be a reasonable % but I had no idea it might increase as much as 30% in 1 year. How are we supposed to predict the future.
They scare you into thinking you better choose right the first time because you may not be able to change down the road.

Wow, that"s a big difference. For me the UHC was closer in price to start off with compared to Mutual of Omaha and then became much cheaper than MofO over the years. If I remember correctly, when I switched to UHC plan G at age 67 the monthly premium was $105 here in NC. At the same time Mutual of Omaha plan G was about $150.
 
UHC being issue aged looks like it proves to be more stable but the numbers I'm seeing for it are so much higher that it seems like it would take years for the other premiums to catch up. I was quoted $116.45 for G from USAA which is age attained compared to $204.49 for the AARP/UHC G. That's almost double. I tried to do some estimated inreases over several years using what I thought would be a reasonable % but I had no idea it might increase as much as 30% in 1 year. How are we supposed to predict the future.
They scare you into thinking you better choose right the first time because you may not be able to change down the road.

Are you sure you are using the age 65 rates for AARP/UHC G?
I'm in TN and the UHC g rate for an 81 y.o. male is $208, but discounted to $127 when 65 - much closer to your USAA number.
 
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