Health Affairs April 26, 2024
Paul B. Ginsburg, Steven M. Lieberman

Medicare recipients have the opportunity every year, from October 15 to December 7, to choose to receive benefits in the upcoming year from traditional Medicare (TM) or Medicare Advantage (MA), as well as to enroll in a different private MA plan. However, for beneficiaries wanting to switch from MA to TM during these annual open enrollment periods, the questionable availability of supplemental insurance poses a significant disincentive because TM, unlike MA, lacks a limit on out-of-pocket costs. As a result, only 10 percent of TM beneficiaries with both Part A and Part B (a requirement for both Medigap and for MA) purchase no supplemental coverage, or “go bare.”

Supplemental insurance (Medigap) for individuals is governed by rules issued by states...

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Topics: CMS, Govt Agencies, Insurance, Medicare, Medicare Advantage, Patient / Consumer, States
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