Yes, it is possible to be denied Medigap insurance under certain circumstances. Medigap insurance, also known as Medicare Supplement Insurance, is sold by private insurance companies to help cover the gaps in Original Medicare. While insurance companies are required to offer Medigap policies to individuals who are eligible for Medicare, they can deny coverage in certain situations.
Here are some common reasons why you may be denied Medigap insurance:
1. Pre-existing conditions: Insurance companies can deny coverage or charge higher premiums based on pre-existing conditions. However, there are certain situations where you may have guaranteed issue rights, which means insurance companies cannot deny you coverage or charge you higher premiums due to pre-existing conditions. These situations include when you are in your Medigap Open Enrollment Period, have a guaranteed issue right, or are eligible for a Special Enrollment Period.
2. Late enrollment: If you apply for Medigap insurance outside of your Medigap Open Enrollment Period, insurance companies may deny coverage or charge you higher premiums based on your health status.
3. Fraudulent application: If you provide false information on your Medigap insurance application, insurance companies can deny coverage.
4. Non-payment of premiums: If you fail to pay your premiums, insurance companies can terminate your Medigap insurance coverage.
It's important to note that Medigap insurance is regulated at the state level, so the specific rules and regulations may vary depending on where you live. If you have any questions or concerns about Medigap insurance, it's best to contact your state's insurance department or a licensed insurance agent who specializes in Medicare.