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ShazzieB

(22,112 posts)
20. I got caught by that pre-existing conditions thing, too, the first time I applied for a Medicare supplement
Tue Dec 9, 2025, 01:13 AM
Dec 9

One of the underwriter's questions was "Do you have any surgeries scheduled or planned for the coming year?" I said, "Yes, I'm planning to have cataract surgery on my right eye." (I'd already had the left one done.) They flat turned me down just for that. I was shocked that they would do that for something as routine as cataract surgery, on only one eye, but the letter from the insurance co. made it clear that's what it was!

I think it's bonkers that the aca rule about not disqualifying people for pre-existing conditions doesn't apply to Medicare supplements, but the reason I was turned down seemed doubly bonkers to me. I went ahead and had the surgery with only my Medicare parts A & B coverage, and the amount I had to pay out of pocket fortunately was an amount I could handle. Applied for a supplement again the following year and was approved with no problem. Nothing else had changed except that!

I can't remember the details, but I know the reason we had to go through underwriting was because we waited too long to apply after my husband "retired" (quotes because he was actually laid off, but it ended up turning into his retirement). I was told that if we had applied for a supplement within a certain amount of time after the coverage from his employer ended, it would have been an automatic thing.

I know none of that info helps you, and I hate that you've gotten caught in this bind. But maybe it will be of use to someone else!

Recommendations

0 members have recommended this reply (displayed in chronological order):

Do you have a Medicare Advantage plan now? Freddie Dec 8 #1
No those advantage plans are a rip off KS Toronado Dec 8 #3
Good Freddie Dec 8 #5
i use traditional "real" medicare rampartd Dec 8 #9
I have basic Medicare Jilly_in_VA Dec 8 #2
That 20% they don't pay is eating me alive KS Toronado Dec 8 #6
Same here I don't even have prescription drugs Walleye Dec 8 #8
I have traditional with an AARP supplement Freddie Dec 8 #4
I think the supplemental is called Medigap bucolic_frolic Dec 8 #7
Try Farm Bureau Health & call your senior center & council on aging! SheltieLover Dec 8 #10
FWIW....I recently learned that all medical billing is negotiable. anciano Dec 8 #11
I asked my husband, who knows quite a bit about whathehell Dec 8 #12
Unfortunately you are correct Freddie Dec 8 #14
I got 'put on' MA when I first contacted someone to come explain the differences slightlv Dec 8 #13
Don't kill the messenger Lulu KC Dec 8 #15
Oh--but not if you're young enough! Lulu KC Dec 8 #19
check this out Nigrum Cattus Dec 8 #16
I have Plan "N" supplement here in Maryland wolfie001 Dec 8 #17
If one turned 65 within the last year the rules are different IbogaProject Dec 8 #18
I got caught by that pre-existing conditions thing, too, the first time I applied for a Medicare supplement ShazzieB Dec 9 #20
Are you referring to the *Medigap* Open Enrollment Period or the *Medicare* Open Enrollment Period? sl8 Dec 9 #21
Latest Discussions»Issue Forums»Health»Was looking to get a supp...»Reply #20