Which of the following would prohibit a person from purchasing a Medicare Supplement policy?
Asked by: Margret Steuber | Last update: July 4, 2025Score: 5/5 (38 votes)
Can you be denied a Medicare Supplement plan?
At other times, insurance companies may refuse to sell you a policy. If you have or had health problems, you may not be able to buy the Medigap plan of your choice unless you are in open enrollment or a guarantee-issue period.
Which Medicare part Cannot be enrolled in by a person who purchases a Medicare Supplement policy?
Explanation: A person who purchases a Medicare Supplement policy cannot enroll in Medicare Part C. Medicare Part C, also known as Medicare Advantage, is a type of Medicare health plan offered by a private company that contracts with Medicare to provide all your Part A and Part B benefits.
Which of the following is not allowed in regards to a Medigap Medicare Supplement policy?
Final answer: In regards to Medigap policies, cancellation for nonpayment of premium is the option that is NOT allowed. These policies offer protections like guaranteed renewal, coverage of pre-existing conditions after a waiting period, and a 30-day free look period.
Which of the following statements is true about a Medicare Supplement policy?
Final answer: The statement that is true about Medicare Supplement policies is that they are designed to cover the deductibles and coinsurance that Medicare patients have to pay, making option D, IV only, the correct answer.
Can You Change Your Medicare Supplement Anytime?
What is required in a Medicare Supplement policy?
Generally, when you buy a Medigap policy you must have Medicare Part A and Part B. You will have to pay the monthly Medicare Part B premium. In addition, you will have to pay a premium to the Medigap insurance company. As long as you pay your premium, your Medigap policy is guaranteed renewable.
Which of the following is a required provision for Medicare Supplement policies?
Final answer: All Medicare Supplement policies must contain a provision that stops providers from denying coverage based on preexisting conditions and adheres to a mandate where citizens must purchase health insurance or face a tax penalty.
Which of the following would a Medicare Supplement policy cover?
Medicare Supplement Insurance (Medigap) is extra insurance you can buy from a private health insurance company to help pay your share of out-of-pocket costs in Original Medicare, like copayments, coinsurance, and deductibles.
Can a doctor refuse a Medicare Supplement?
The short answer is “No”. However, if a doctor accepts Medicare itself, which is your primary coverage, then they will also accept your Medigap plan, regardless of what company sold you the plan or which Medigap plan you have. The key thing to remember is that Medigap plans “follow” Medicare.
What are reasons you can be denied Medicare?
There are many reasons Medicare might deny you coverage. Some common ones include: Medicare feels the service was not medically necessary. You've exceeded the maximum allowed days in a hospital or care facility.
Who Cannot get Medicare?
Medicare is a federal health insurance program for people age 65 or older. People younger than age 65 with certain disabilities, permanent kidney failure, or amyotrophic lateral sclerosis (ALS, also known as Lou Gehrig's disease), may also be eligible for Medicare.
Which of the following persons is not eligible for Medicare?
Final answer: The person who is NOT eligible for Medicare is the one who has been entitled to Social Security disability benefits for only 6 months, as they need to have received benefits for at least 24 months to qualify.
Does everyone have to pay $170 a month for Medicare?
Most people pay no premiums for Part A. For Medicare Part B in 2025, most beneficiaries will pay $185 per month. Certain factors may require you to pay more or less than the standard Medicare Part B premium in 2025.
Can Medicare supplemental insurance be denied pre-existing conditions?
Do Medicare Supplement insurance plans cover preexisting conditions? Yes. However, a Medigap insurance company can refuse to cover pre‑existing conditions for up to 6 months after enrollment. This is called a “pre‑existing condition waiting period.” After 6 months, the Medigap policy will cover those conditions.
Can you be dropped from a Medicare Supplement plan?
Under certain circumstances, insurers can cancel Medicare Supplement Insurance Plans. One reason, for example, is the case of non-payment on policy holder premiums. If a policyholder fails to pay the premiums on time, the insurer has the right to cancel the coverage.
What are the disadvantages of a Medicare Supplement plan?
What are the disadvantages of a Medigap plan? There are a couple of cons to consider before choosing a Medigap plan: Premiums: Medigap premiums can be pricey. Coverage: Medicare Supplement plans don't cover everything, so you'd still have to pay out of pocket for things like dental care, vision care and long-term care.
Can a person be denied a Medicare Supplement plan?
Outside of your Medigap Open Enrollment Period: You may have to pay more for a policy. Fewer policy options may be available to you. The insurance company is allowed to deny you a policy if you don't meet their medical underwriting requirements.
When an application for Medicare Supplement coverage may not be denied by the insurer?
Medicare Supplement open enrollment is a 6-month period during which you can buy any Medicare supplement policy sold in your state, even if you have pre-existing health conditions—you cannot be denied coverage during this period.
Can physicians refuse to treat Medicare patients?
Physicians are not required to participate in Medicare, though the vast majority of them choose to do so.
Which of the following is true of a Medicare Supplement policy?
Final answer: Medicare Supplement Insurance Plans, also known as Medigap, are regulated by CMS. These plans help cover costs not covered by Original Medicare, but benefits do not automatically update with Medicare changes.
What does the Medicare Supplement policy cover?
Original Medicare Part A (Hospital Insurance) and Part B (Medical Insurance) pay for many, but not all, healthcare services and supplies. Medicare Supplement insurance plans help pay your share of some of the healthcare costs that Original Medicare doesn't cover, like copayments, coinsurance and deductibles.
Why are people leaving Medicare Advantage plans?
Key takeaways: People leave Medicare Advantage plans because out-of-pocket costs vary between plans, network restrictions can cause frustration, prior authorization requests can delay care, and it can be difficult to use the additional benefits they provide.
Can Medicare Supplement plans be purchased any time of the year?
Summary: Medicare Supplement insurance doesn't have restrictions on enrollment periods the way other Medicare coverage does. As long as you're enrolled in Original Medicare, Part A and Part B, you can apply for a Medicare Supplement insurance plan anytime.
What Medicare Supplement policy contains restricted network provisions?
A Medicare Select program is a Medicare Supplement policy or certificate which is permitted to use a restricted network provision, meaning that the payment of benefits can be conditioned, in whole or in part, on the use of network providers.
Do Medicare Supplement plans require prior authorization?
Broadly speaking, Medicare Supplement plans provide better access to care. By significantly reducing out-of-pocket expenses, they ensure the cost of services isn't a barrier to care. They also don't limit your access through provider networks and prior authorization requirements.