Frequently Asked Questions MACRA 2020

Frequently Asked Questions MACRA 2020

What is MACRA?

The Medicare Access and CHIP Reauthorization Act (MACRA) is a federal law with changes to Medicare Supplement plans in all states, which goes into effect on January 1, 2020. Here are some Frequently Asked Questions about MACRA.

What’s changing?

As of January 1, 2020:
• Medicare Supplement plans with Part B deductible coverage (Plans C, F, and high deductible F) cannot be sold to “newly eligible” Medicare beneficiaries.
• The following guaranteed issue plans will be available for “newly eligible” Medicare beneficiaries: Plans D, G, and high deductible G (new!)

What is the definition of “newly eligible” Medicare beneficiaries?

Individuals who have attained age 65 or first become eligible for Medicare due to age, disability or end-stage renal disease on or after January 1, 2020.

How are current enrollees in Plans C, F, and High Deductible F affected by these changes?

Current enrollees with Plan C, F or High Deductible F can keep their plan. And, they can continue to buy Plans C, F, and High Deductible F after January 1, 2020. Current enrollees will also be able to buy the new Plan High Deductible G on or after January 1, 2020.

What will happen to high deductible plan options?

High Deductible F cannot be sold to “newly eligible” beneficiaries, a new Plan High Deductible G will be created. Plan High Deductible G will be available starting January 1, 2020. Both “newly eligible” Medicare beneficiaries and current beneficiaries will be able to buy the new Plan High Deductible G.

What will happen to Guaranteed Issue requirements?

Plans D and G will become two of the guaranteed issue plans for “newly eligible” Medicare Beneficiaries. Plans C, F & High Deductible F, the current Guaranteed Issue plans will no longer be available for “newly eligible” beneficiaries).

Current enrollees can remain with or buy Plans C, F and High Deductible F.

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