Medigap-guaranteed issue associated with Medicare Advantage disenrollment for beneficiaries administered a part B drug.

ABSTRACT: While many Medicare beneficiaries are enrolling in Medicare Advantage (MA), some beneficiaries may want to return to traditional Medicare and purchase Medigap, especially beneficiaries who have greater medical needs. Beyond minimal federal regulations, states impose additional regulations that impact Medigap affordability. Beneficiaries in some states have greater difficulty obtaining Medigap coverage because the states where they live allow Medigap insurers to experience rate the beneficiary, which can make Medigap insurance prohibitively expensive. We examined beneficiaries who received physician-administered drugs, which can be expensive and subject to high cost sharing, to see if disenrollment from MA for these beneficiaries was greater in states with Medigap consumer protection policy

SUBMITTER: Liu A 

PROVIDER: S-EPMC11538962 | biostudies-literature | 2024 Nov

REPOSITORIES: biostudies-literature