Californians can purchase Medicare supplement insurance from several providers either direct or through an independent agent. Prices are controlled by law, so the monthly premiums will be that same no matter which avenue is chosen.
California allows Medicare supplement providers to offer insurance to those age 65 and above as well as those under age 65 and on Medicare disability. Not all states offer supplemental insurance to consumers under age 65 making CA unique in that regard.
Disability and Medicare Supplement Insurance in California
Those under age 65 will be afforded a 6 month open enrollment window just like those who age into Medicare. It is important for consumers on disability to explore all of their options during this period of time or they can later be turned down.
That is to say, if the open enrollment window of time has been missed, then medical underwriting may be necessary and those with a disability may not qualify for comprehensive coverage. Those who are accepted into disability, but covered under an employer sponsored plan can later apply for Medigap insurance when they separate from service.
California Medicare Anniversary or Birthday Rule
California is very unique in that it offers a yearly anniversary when Medicare beneficiaries can switch to like coverage. Very few states offer this benefit. The yearly anniversary is also referred to as the "birthday rule" and encompasses the month of the insureds birthday.
During this one month window, consumers can switch Medicare insurance plans so long as they are not upgrading to more comprehensive coverage. If an upgrade is desired, then medical underwriting will be necessary.
Like coverage simply means the same (or less) Medicare supplement insurance coverage. For example, consumers on Plan F can purchase a new Plan F from a competing insurance company in order to lower their monthly premiums. This might be done every couple of years when Medicare supplement premiums have had an above average premium increase.
In summary, residents of CA who are eligible for Medicare have several options available to them when shopping for a Medicare supplement insurance plan. It may be wise to work with an independent agent who can provide quotes from several competing companies. This can help keep monthly rates low at inception as well as in the future.
Consumers owning Medigap insurance above or below age 65 should explore all of their options during their birthday month. This yearly anniversary can be used to purchase like coverage at a lower price, thus maintaining lower premiums each year.
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