2.What does MACRA require?
As of January 1, 2020, MACRA does the following:
2. Makes Plans D and G the guarantee issue plans for "newly eligible" Medicare Beneficiaries...
3.Who is considered a "newly eligible" Medicare beneficiary under MACRA?
MACRA defines "newly eligible" as anyone who: (a) attains age 65 on or after January 1, 2020, or (b) who first becomes eligible for Medicare benefits due to age, disability or end-stage renal disease on or after January 1, 2020.
22.What changes are made to Guaranteed Issue requirements?
Since two of the current guaranteed issue plans, Plans C and F, will no longer be available for "newly eligible" Medicare Beneficiaries on or after January 1, 2020, Plans D and G will become two of the guaranteed issue plans for these individuals. Current enrollees can remain with or buy Plans C and F and individuals who do not fall within the definition of “newly eligible” Medicare beneficiary will still be able to purchase Plans C and F.
17.How are enrollees in current Plans C and F affected by these changes?
Current enrollees (those eligible for Medicare PRIOR to January 1, 2020) can continue with their Plan C or Plan F and may continue to buy Plans C and F beyond January 1, 2020. Current enrollees will also be able to buy the new Plan G High Deductible plan on or after January 1, 2020.
18.What changes are made to High Deductible Plan options?
Since Plan F High Deductible cannot be sold to those "newly eligible" Medicare beneficiaries, a new Plan G High Deductible is created.
19.When can the new High Deductible Plan G be sold and who can buy it?
Plan G High Deductible can be made available beginning on January 1, 2020; "newly eligible" Medicare beneficiaries and current beneficiaries would be able to buy the new Plan G High Deductible.
Reference:
https://www.naic.org/documents/committees_b_senior_issues_170201_medigap_faq.pdf