Medicare Supplement Eligibility and Enrollment (2024)

Medicare Advantage and Medicare Part D Policy Disclaimers

Cigna Healthcare products and services are provided exclusively by or through operating subsidiaries of The Cigna Group. The Cigna Healthcare names, logos, and marks, including THE CIGNA GROUP and CIGNA HEALTHCARE are owned by The Cigna Group Intellectual Property, Inc. Subsidiaries of The Cigna Group contract with Medicare to offer Medicare Advantage HMO and PPO plans and Part D Prescription Drug Plans (PDP) in select states, and with select State Medicaid programs. Enrollment in a Cigna Healthcare product depends on contract renewal.

To file a marketing complaint, contact Cigna Healthcare or call 1-800-MEDICARE (), 24 hours a day, 365 days a year, TTY . Please include the agent/broker name if possible.

Medicare Supplement Policy Disclaimers

Medicare Supplement website content not approved for use in: Oregon.

AN OUTLINE OF COVERAGE IS AVAILABLE UPON REQUEST. We'll provide an outline of coverage to all persons at the time the application is presented.

Our company and agents are not connected with or endorsed by the U.S. Government or the federal Medicare program. This is a solicitation for insurance. An insurance agent may contact you.Premium and benefits vary by plan selected. Plan availability varies by state. Medicare Supplement policies are underwritten by American Retirement Life Insurance Company, Cigna Health and Life Insurance Company, Cigna Insurance Company, Cigna National Health Insurance Company or Loyal American Life Insurance Company. Each insurer has sole responsibility for its own products.

The following Medicare Supplement Plans are available to persons eligible for Medicare due to disability: Plan A in Arkansas, Connecticut, Indiana, Maryland, Oklahoma, Rhode Island, Texas, and Virginia; Plans A, F, and G in North Carolina; and Plans C and D in New Jersey for individuals aged 50-64. Medicare Supplement policies contain exclusions, limitations, and terms under which the policies may be continued in force or discontinued. For costs and complete details of coverage, contact the company.

This website is designed as a marketing aid and is not to be construed as a contract for insurance. It provides a brief description of the important features of the policy. Please refer to the policy for the full terms and conditions of coverage.

In Kentucky, Plans A, F, G, HDG, N are available under Cigna National Health Insurance Company, Plans A, F, G, HDF, N are available under Cigna Health and Life Insurance Company and Plans A, B, C, D, F, G, N are available under Loyal American Life Insurance Company.

Kansas Disclosures, Exclusions and Limitations

Medicare Supplement Policy Forms: Plan A: CNHIC-MS-AA-A-KS, CNHIC-MS-AO-A-KS; Plan F: CNHIC-MS-AA-F-KS, CNHIC-MS-AO-F-KS; Plan G: CNHIC-MS-AA-G-KS, CNHIC-MS-AO-G-KS; Plan N: CNHIC-MS-AA-N-KS, CNHIC-MS-AO-N-KS

Exclusions and Limitations:

The benefits of this policy will not duplicate any benefits paid by Medicare. The combined benefits of this policy and the benefits paid by Medicare may not exceed one-hundred percent (100%) of the Medicare Eligible Expenses incurred. This policy will not pay benefits for the following:

(1) the Medicare Part B Deductible;

(2) any expense which You are not legally obligated to pay; or services for which no charge is normally made in the absence of insurance;

(3) any services that are not medically necessary as determined by Medicare;

(4) any portion of any expense for which payment is made by Medicare or other government programs (except Medicaid); or for which payment would have been made by Medicare if You were enrolled in Parts A and B of Medicare;

(5) any type of expense not a Medicare Eligible Expense except as provided previously in this policy;

(6) any deductible, Coinsurance or Co-payment not covered by Medicare, unless such coverage is listed as a benefit in this policy; or

(7) Preexisting Conditions: We will not pay for any expenses incurred for care or treatment of a Preexisting Condition for the first six (6) months from the effective date of coverage. This exclusion does not apply if You applied for and were issued this policy under guaranteed issue status; if on the date of application for this policy You had at least six (6) months of prior Creditable Coverage; or, if this policy is replacing another Medicare Supplement policy and a six (6) month waiting period has already been satisfied. Evidence of prior coverage or replacement must have been disclosed on the application for this policy. If You had less than six (6) months prior Creditable Coverage, the Preexisting Conditions limitation will be reduced by the aggregate amount of Creditable Coverage. If this policy is replacing another Medicare Supplement policy, credit will be given for any portion of the waiting period that has been satisfied.

Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna Healthcare website.

Y0036_24_1037312_M | Page last updated 03/28/2024

Medicare Supplement Eligibility and Enrollment (2024)

FAQs

What are the 3 important eligibility criteria for Medicare? ›

Who is Eligible for Medicare? You are eligible for Medicare if you are a citizen of the United States or have been a legal resident for at least 5 years and: You are age 65 or older and you or your spouse has worked for at least 10 years (or 40 quarters) in Medicare-covered employment.

Can you be denied a Medicare supplement plan? ›

Buying During the Open Enrollment Period

Some states offer an Open Enrollment period to applicants under age 65 eligible for Medicare due to disability. If you miss that window and do not qualify under the situations above, you may be denied Medicare supplement coverage.

What are the criterias of a Medicare supplement plan? ›

To be eligible for Medicare Supplement plans, you must already have Medicare Part A and Part B. There may be state residency requirements for Medicare Supplement plan eligibility as well. As a Medigap member, you cannot have a Medicare Advantage plan.

How do I get answers to Medicare? ›

Live chat with us, and find local organizations that can help answer your Medicare questions. You can also: Call us at 1-800-MEDICARE (1-800-633-4227). Help from Medicare is available 24 hours a day, 7 days a week, except some federal holidays.

Can I drop my employer health insurance and go on Medicare Part B? ›

Once you stop working (or lose your health insurance, if that happens first) you have an 8-month Special Enrollment Period (SEP) when you can sign up for Medicare (or add Part B to existing Part A coverage).

Can I get Medicare if I never worked but my husband did? ›

If you do not have at least 40 calendar quarters of work during which you paid Social Security taxes in the U.S., but your spouse does, you may be eligible for premium-free Medicare Part A based on your spouse's work history when you turn 65.

Which of the following will probably not qualify for Medicare supplements? ›

Here are some reasons you may be turned down from a Medicare Supplement insurance plan or pay a higher premium: You have Medicare but you're under 65. You're 65 but haven't enrolled in Medicare Part B. You have a health problem and your Medicare Supplement Open Enrollment Period has ended.

What is the downside to Medicare Supplement plans? ›

Medicare Supplement insurance plans do not include prescription drug coverage. To get prescription drug coverage, you'll need to enroll in a separate Medicare Part D plan. Medicare Advantage plans generally do not require medical underwriting.

Is there a Medicare Supplement that covers everything? ›

With Medicare Supplement Plan F, you get the most complete coverage available. And because Plan F also covers costs in excess of Medicare-approved amounts, you may have no out-of-pocket costs for hospital and doctor's office care.

What are the 6 things Medicare doesn't cover? ›

Some of the items and services Medicare doesn't cover include:
  • Long-term care (also called. custodial care. Custodial care. ...
  • Most dental care.
  • Eye exams (for prescription glasses)
  • Dentures.
  • Most cosmetic surgery.
  • Massage therapy.
  • Routine physical exams.
  • Hearing aids and exams for fitting them.

Can AARP help with Medicare questions? ›

AARP's Medicare Question and Answer Tool offers practical and comprehensive information to help you navigate the program according to your own situation.

What questions are asked in a Medicare exam? ›

At your Medicare annual wellness visit, your health care provider will: Review your blood pressure, heart rate, height, weight and body mass index (BMI). Review your current health problems, as well as your medical, surgical, family and social histories. Review your current medications.

What 3 factors is Medicare coverage based on? ›

Medicare coverage is based on 3 main factors:

Federal and state laws. National coverage decisions Medicare makes. Local coverage decisions made by Medicare claims processing companies in each state.

What is the medical necessity criteria for Medicare? ›

According to Medicare.gov, health-care services or supplies are “medically necessary” if they: Are needed to diagnose or treat an illness or injury, condition, disease (or its symptoms). Meet accepted medical standards.

How do you qualify for Medicare before 65? ›

Medicare is the federal health insurance program for people who are 65 and over. If you are under 65, you may be eligible to get Medicare earlier if you have a disability, End-Stage Renal Disease (ESRD), or ALS (Lou Gehrig's Disease).

How do you know if a patient qualifies for Medicare? ›

Generally, Medicare is for people 65 or older. You may be able to get Medicare earlier if you have a disability, End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant), or ALS (also called Lou Gehrig's disease).

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