An Act amending the act of December 15, 1982 (P.L.1291, No.292), known as the Medicare Supplement Insurance Act, providing for annual open enrollment period; and abrogating a regulation.
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed Senate
- Passed House
- To Governor
- Became Law
Overview
This bill creates an annual open enrollment period for Medicare Supplement Insurance policies in Pennsylvania. During this 90-day period, individuals can switch to a different Medicare Supplement policy offered by a Pennsylvania insurer that provides the same benefits as their current coverage. The bill also prohibits insurers from denying coverage or discriminating in pricing based on health status during this open enrollment period and requires insurers to notify individuals about the open enrollment period and any changes to their coverage.
Key provisions
- Establishes an annual open enrollment period for Medicare Supplement policies, starting on an individual's birthday and lasting for at least 90 days.
- Allows individuals to switch to a Medicare Supplement policy with the same benefits as their current coverage.
- Prohibits insurers from denying coverage or discriminating in pricing during the open enrollment period based on health status.
- Requires insurers to notify individuals about the open enrollment period, its dates, and any changes to their coverage.
- Excludes ‘innovative benefits’ as defined by 42 U.S.C. § 1395ss(p)(4)(B) when determining if a new policy includes the same benefits.
- Abrogates a regulation (31 Pa. Code § 89.778) that conflicts with the new open enrollment provisions.
Who is affected
- Medicare beneficiaries
- Insurance companies operating in Pennsylvania
Bill text
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Document of record
- Version
- Pn 1459 Html
- Published
- Not published in the source record
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Sponsors
Official sponsors from legislative records.
9 on record
Primary sponsor
Cosponsors
Christine Tartaglione
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