Understanding Plan Termination

When a Medicare Advantage plan exits a region like Broward County, it leaves its members with significant decisions to make regarding their healthcare coverage. It's important to understand the options and timelines associated with this change to ensure continued coverage without gaps.

Guaranteed Issue Rights

Following a plan exit, members are granted "guaranteed issue rights." This means you can purchase certain Medigap policies even if you have pre-existing health conditions, without worrying about being turned down or charged more due to health issues. These rights typically apply for a limited time, so it’s essential to act promptly.

Special Enrollment Period

Members affected by a plan exit are entitled to a Special Enrollment Period (SEP). During this period, you can enroll in a different Medicare Advantage plan or switch back to Original Medicare with the option to purchase a Medigap policy. This SEP typically begins two months before and lasts up to two months after your plan's termination.

Choosing a New Plan

When selecting a new plan, consider factors such as network availability, coverage options, prescription drug inclusion, and out-of-pocket costs. It's beneficial to compare various plans to find one that aligns with your healthcare needs and budget.

Seeking Assistance

Navigating plan changes can be complex. Consider consulting with a Medicare counselor or an insurance agent specializing in Medicare plans. They can provide personalized advice and help you understand your options, ensuring you make informed choices that suit your situation. Staying informed and proactive about these options ensures you can manage the transition smoothly and maintain the healthcare coverage you need.