Medigap Bulletin Series – INFORMATION
This bulletin explains why a Medicare beneficiary is entitled to a Medigap guaranteed issue right under the following circumstances:
• The beneficiary has coverage under a group health plan through the beneficiary’s own current employment, or the current employment of a spouse
• The plan pays secondary to Medicare
• The plan does not provide retiree coverage
• The beneficiary’s coverage under the plan terminates when the beneficiary, or the beneficiary’s working spouse, retires.
Final
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: March 01, 2004
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.