Very informative video - unfortunately here in Texas the only birthday rule is that you get to eat cake! 🎂 looking forward to the next video on medical underwriting. You guys really have the best videos on this subject…
I had medigap in nys.. went to Tennessee both Humana and they increased it almost double within a year. I assume because I have a nys Humana in Tennessee. It’s more than nys Humana and more than tennessee Humana and no one can explain it.
That seems very odd since Tennessee has much lower Medigap premiums compared to New York. Typically, when moving with Humana, the plan premiums are adjusted based on the state you are moving to. Humana also has a unique guaranteed issue opportunity to change to a different Humana Medigap plan when you move to a new state. Can you tell us what the premium was and what it changed to? You can also email us more details at info@gmedicareteam.com, and we can connect you with someone from Humana to help if possible!
@@GiardiniMedicare under 65.. was paying 265 in nys.. jumped six months later to 364.. they say now at 1yr later is 428. Spoke to Humana they said tough poop it is what it is. I called nys since there was no notice of steep jump and they closed my case a day after I opened it
Purchased medigap while living in NV but moved to FL, does my switch to another medigap plan (same letter G) allow me to move to another company for same plan G near my birthday as your NV rules state, or am I bound to FL rules even tho my plan moved with me?
It will depend on the insurance company. We aren’t licensed in Washington but can connect you with a broker that is licensed there if you would like. Otherwise, Page 4 of this document should help www.insurance.wa.gov/sites/default/files/documents/what-you-need-to-know-medigap-plans_4.pdf
Illinois Birthday Rule: I have a standard Aetna plan G now. If I switch to an Aetna High Deductible G plan (GHD), is that considered an 'Equal' benefits/coverage plan or a 'Lessor' benefits/coverage plan when compared to my current standard G plan - in terms of Illinois' Birthday Rule? I ask because if I don't like the GHD plan, the following birthday, will I be able to switch back to Aetna's standard plan G w/o medical underwriting (MU)? Also, if I do switch to Aetna's GHD this birthday, on next year's birthday would I be able to switch to an Aetna N plan w/o MU? In other words, is plan N considered to be a 'lessor' benefits/coverage plan then plan GHD? Basically, I realize that the benefits/coverage of GHD is better than plan N because GHD covers any Excess Charges and has no copays, but in terms of what is allowed by the Illinois Birthday Rule for no MU questions, does GHD's huge Deductible ($2800 in 2024) somehow make it 'lessor' to plan N?
Very good question! In this case, Plan N is not considered a lesser plan than a High Deductible Plan G. It's hard to type out and explain the various plan change scenarios. Still, page 3 of this document from the Maryland Insurance Administration shows an example of some possible birthday rule changes... Although I, unfortunately, cannot find a specific one like this for Illinois, I will keep trying to find one: insurance.maryland.gov/Consumer/Documents/publications/Medicare-Supplement-Rate-Guide.pdf
@@GiardiniMedicare Thank you for answering. I know standard plan G is the 'highest ranked' plan of the three, but I've been trying to find out for months how plans GHD and N fit-in (their ranking, so to speak) so that I will know when I would be allowed to bypass medical underwriting (MU) in future years using Illinois' Birthday Rule (IBR) . I know N is 'lessor' than G of course (due to N's copays and lack of Excess Charge coverage), but sounds like you are saying N is 'greater than' GHD, at least in terms of the IBR? I'm assuming this is because of GHD's huge Deductible (even though it is still a G plan with more comprehensive coverage, it doesn't kick in until you've paid out $2800 (in 2024). Would you believe I've been trying to find this out for months! I first contacted CMS Medicare, they didn't know (!), same with Il. Dept. of Ins. (!) and Aetna (ha), I get different answers each time I ask them: one person said if I switch now to GHD I could switch again next birthday to N with no MU because "N is 'lessor' than GHD", but another rep. said, as it seems you are saying, GHD is the 'lessor'. It's not that it's confusing, it' that nobody seems to KNOW (but of course they'll all know next year if I try to switch again and tell me I can't unless I go thru MU! - ha!). I could not find anything at all on this in writing or in watching hundreds of videos. Thanks so much for your help and patience with me on this. I have been trying so hard just to find out FOR SURE, the 'ranking' (greater to lessor) of these plans: is it: G N GHD or is it: G GHD N? Sounds like you are thinking it's G N GHD. Really, thank you so much!
@@gerardmoran8422 I can't say I am that surprised that you couldn't get a straight answer from anyone since it really isn't written out clearly anywhere that I am aware of. I also won't pretend to know the exact answer for Illinois since I don't know the answer, but my understanding is that it would follow the guidelines that I previously linked to. This means you could not go from Plan N to HDG or HDG to Plan N using the birthday rule in Illinois. Of course, you can always apply via underwriting, but that's a topic for the next video.
@@GiardiniMedicare Thank you so much for your time and thoughtful answers. Also, page 3 of that document you referred me to pretty much supports your answers. I can go from my current G to either N or GHD (which I knew), but then it looks like my switching stops there, unless I want to submit to MU like you mentioned - once I go to N or GHD, that's it, in so far as the Birthday Rule goes. I'll assume Ilinois is similar to Maryland. Thanks again and please keep up the great work - you all are very helpful and I appreciate your efforts and very timely responses!
@@gerardmoran8422 Thanks for watching and for the good questions! I wish I had a more concrete answer specifically for Illinois, but if you find anything, please let me know, and I will, of course, continue to look for sources.
