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Jae W. Oh, Managing Principal of GH2 Benefits was the guest on The Consumer Show, KGO Radio, based in San Francisco, answering questions about health insurance under the ARP.
Not One, Not Two, Three Paths to Medigap Acceptance
Medigap Open Enrollment is obvious: Starts on the day that your Part B coverage begins, ends in 6 months.
Guaranteed Issue is slighty more difficult, a long list of special conditions where your acceptance is guaranteed by the CMS (Centers for Medicare and Medicaid Services). These are, nevertheless, mandated and enforced by the CMS.
Guaranteed Acceptance (MUCH mote nuanced):
a. States can have expanded rights (example NY State)
b. States can create additional Special Enrollment Periods (this year, Colorado for existing Plan C, F, and F+ policyholders)
c. Carriers can offer additional situations where medical underwriting is relaxed and eliminated
Takeaways: these Guaranteed Acceptance is a Maximize Your Medicare – created term. The clear implications are important.
1. The deadlines established here can change or move, so situations that existed earlier may not exist today.
2. Carriers can change or eliminate their exceptions, this is not a violation of the regulations, since these were greater than the state or federal rules required. Carriers will absolutely follow state and federal regulations (it would be highly impractical / unwise to intentionally violate these regulations).
3. The problem: people misunderstand, people use terminology far too loosely, and these three get mixed up. It is VERY common, even carrier’s applications do not accurately specify which of the three paths is being selected by you, the applicant. This is a VERY regrettable situation, because now you, the applicant, may be relying on misinformation for future decisions.
Notably absent: the Annual Election Period (October 5 – December 7) and Medicare Advantage Open Enrollment Period (January 1 – March 31) are not part of any of these.
Special Guest: Pianist Kevin Cole
Kevin Cole has been described in The Chicago Tribune as the “country’s greatest living Gershwin pianist,” and his first album, released in November 2020, has been described as “revelatory,” and “…you don’t have to be familiar with every note of the Concerto in F to appreciate the power and stature of this recording, which can be considered as close to Gershwin’s intention as is possible at this late date.” That is very high praise, indeed.
(“A revelatory new recording of Gershwin’s landmark Concerto in F” By HOWARD REICH, CHICAGO TRIBUNE NOV 18, 2020): link
a. How he started, how he got discovered,
b. How he met the Gershwin family (!),
c. Playing at Carnegie Hall,
d. Recovering from a brain tumor, and
e. What’s next.
Link to the album: https://amzn.to/37o0mtW
Kevin’s contact email: email@example.com
#piano #Gershwin #Naxos
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