Medicare supplement coverage: open enrollment periods.
Vote required
Majority
Fiscal committee
No
Appropriation
No
Current location
Appropriations
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed Senate
- Passed Assembly
- To Governor
- Became Law
Overview
This bill aims to expand access to Medicare supplement coverage (Medigap) for older adults in California. It establishes an annual open enrollment period, starting January 1st of each year, during which individuals can apply for or switch to Medicare supplement plans without being denied coverage or charged higher premiums based on their health status, claims history, or age. Previously, a restriction on coverage for individuals with end-stage renal disease has been removed, and the bill also prohibits discrimination in pricing based on these factors. The bill also includes provisions to standardize Medigap plans and ensure access to certain benefit plans.
Key provisions
- Establishes an annual open enrollment period for Medicare supplement coverage, beginning January 1st of each year.
- Removes the restriction on offering Medicare supplement coverage to individuals with end-stage renal disease.
- Prohibits denial or discrimination in pricing of Medicare supplement coverage based on health status, claims experience, medical condition, or age.
- Requires issuers to make available specified Medicare supplement benefit plans during the open enrollment period.
- Premium rates during the open enrollment period can vary based on age, but not based on attained age after contract issuance.
- The open enrollment period is a guaranteed issue period.
- Standardizes certain Medicare supplement benefit plans to ensure consistent coverage options.
- Addresses premium rate adjustments for individuals transitioning between Medicare supplement plans.
Bill text
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Sponsors
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17 on record
Primary sponsor
Cosponsors
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