MAPD TRIAL RIGHT IN ACTION

[Brian Sarkisian]

I have a number of individuals that are on Medicare Supplement plans that are not currently being written. The company is still
doing Medicare Supplement business but under new paper for the lack of better words. I have always been nervous moving someone from a Medicare Supplement plan to a MAPD plan, however, some of these Medicare Supplement plan rates have really have gotten out of hand so it is time to show an alternative. These individuals wouldn't pass underwriting ....

These are the individuals I am talking about.

If you drop a Medigap policy to join a Medicare Advantage Plan for the first time, you have a 12-month trial right period to get your Medigap policy back if the same insurance company still sells it.

From what I have read, it sounds like we would need to go back to the original carrier for a yay or nay then go from there.

I am just looking for some real world experience.

Thank you



Brian

 

[axeman462]

I have a number of individuals that are on Medicare Supplement plans that are not currently being written. The company is still
doing Medicare Supplement business but under new paper for the lack of better words. I have always been nervous moving someone from a Medicare Supplement plan to a MAPD plan, however, some of these Medicare Supplement plan rates have really have gotten out of hand so it is time to show an alternative. These individuals wouldn't pass underwriting ....

These are the individuals I am talking about.

If you drop a Medigap policy to join a Medicare Advantage Plan for the first time, you have a 12-month trial right period to get your Medigap policy back if the same insurance company still sells it.

From what I have read, it sounds like we would need to go back to the original carrier for a yay or nay then go from there.

I am just looking for some real world experience.

Thank you



Brian

not original carrier, but same plan. So if they had a plan F with AARP, then went BCBS MAPD, they would have to go back to plan F, but the plan F could be with Humana or AARP or MoO etc..

 

[rousemark]

not original carrier, but same plan. So if they had a plan F with AARP, then went BCBS MAPD, they would have to go back to plan F, but the plan F could be with Humana or AARP or MoO etc..

They have to go back to the original company if that company is still writing the plan.

 

[axeman462]

They have to go back to the original company if that company is still writing the plan.

that must be state specific. I have done that many times. Most recent was last AEP.
Lady Had AARP Plan F, went Florida Blue for a year, didn't like it, then went to Humana Plan F because it was $80/mo cheaper than AARP. Issued with GI, and I got paid the full commission plus a bonus that Humana was paying at the time.

But I also ride unicorn to work and Hand out bags of fairy dust to all my clients. In other words, I live in Florida.

 

[somarco]

@Brian Sarkisian Trial right rules are carrier (and possibly also) state specific. Review the GI section of the apps you plan on using before going forward.


This is what the Medicare & You manual says . . .

If you drop a Medigap policy to join a Medicare Advantage Plan for the first
time, you’ll have a single 12-month period (your trial right period) to get your
Medigap policy back if the same insurance company still sells it once you
return to Original Medicare. If it isn’t available, you can buy a Medigap policy
you qualify for that’s sold by an insurance company in your state (except
for Plans M or N). You may also have an opportunity to enroll in a Medicare
drug plan at this time.


Carriers may offer more LENIENT trial right provisions but not more strict.

Also keep in mind that most carriers pay $0 to $25 (one time) for GI/trial right apps.

And if you write too many with a carrier they may term your contract.

 

[Chazm]

I can’t find one med Supp company that doesn’t pay on GI. This is for FL

 

[somarco]

Florida is God's waiting room. Shooting fish in a barrel kind of thing for Medicare carriers. There are a number of things that show up in the Sunshine state you won't see anywhere else.

 

[axeman462]

Florida is God's waiting room. Shooting fish in a barrel kind of thing for Medicare carriers. There are a number of things that show up in the Sunshine state you won't see anywhere else.

 

[rmhaire]

Damn unicorns

 

[axeman462]

Damn unicorns