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Find Affordable Health Insurance Now!

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You may be eligible for a government subsidy if your household income is under:
The Affordable Care Act (ACA) offers subsidies based on your household income, family size, and Qualifying Life Events.

You may qualify if...
One of the life events below has happened to you in the past 60 days:
  • I got married or divorced
  • I had a baby
  • A member of my family died
  • I moved to another state
  • i lost my job
  • I started a new job
  • I lost my health insurance coverage
and
Your income is under:
  • $45,960 - Individuals
  • $62,040 - Family of 2
  • $78,120 - Family of 3
  • $94,200 - Family of 4

Your rights when buying Medicare insurance

You might feel confused by all the different health insurance options and choices you have to make when you turn 65. No matter whether you choose Original Medicare or a Medicare Advantage Plan, you are guaranteed certain rights. Among them:

You are guaranteed to be treated with dignity and respect. Some unscrupulous agents may think just because you're older, you're easy prey, but you should never let anyone intimidate you when you're researching and signing up for your Medicare benefits and Medicare supplement insurance (also known as Medigap). If someone treats you wrongly, report him or her to your state insurance department.

medicare insurance rightsYour questions about your Medicare coverage must be answered. You may be able to find the answers to common questions at the Medicare website. You also can call the Medicare help line at 1-800-633-4227, 24 hours a day, including weekends. Your state insurance department also may be able to answer your general questions about health insurance plans.

Your questions must be answered in a way that you understand, whether the answers come from Medicare, the people at your health insurance plans or, under certain circumstances, contractors.

You must be accepted in a Medicare supplemental plan if you apply when you enroll in Medicare. You can't be turned down for health reasons, says Lucas Burton of Golden Age Providers in Largo, Fla. If you want to switch Medigap insurance plans, you might be refused, but not when you first enroll, he says.

Your Medigap insurance policies must be renewed as long as you pay your premiums. You can't be dropped for making claims. Don't let anyone tell you that if you make too many claims on your Medigap health plan, you may lose it.

You can make changes to your health and prescription drug coverage. In most cases, you can make these changes during the open enrollment period, which is Oct. 15 to Dec. 7. Any changes made during that time take effect on Jan. 1, 2020. 

There are special circumstances that allow you to change your Medicare health or prescription drug coverage at other times of the year, Burton says. The circumstances may depend on the state in which you live.

For example, Burton says, California allows you to buy Medicare supplemental insurance -- and the coverage can be the same as you have or less -- during the month of your birthday. The Medigap insurance plans can't ask you questions about your health.

You can appeal decisions about coverage for services or prescriptions drugs. You can file an appeal if your plan denies coverage or stops paying for items or services you believe you need. If you have Original Medicare, you must fill out a Medicare Summary Notice within 120 days of obtaining it. You should receive a decision within 60 days. If you have a Medicare Advantage plan, you must file the instructions from your plan. If you need help with your appeal, you can contact your State Health Insurance Assistance Program.

Medicare can be confusing, but make sure you understand your rights so you can get the right plan for you. 

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Find Affordable Health Insurance Now!

Please enter valid Zip Code.
Please enter valid date.
You may be eligible for a government subsidy if your household income is under:
The Affordable Care Act (ACA) offers subsidies based on your household income, family size, and Qualifying Life Events.

You may qualify if...
One of the life events below has happened to you in the past 60 days:
  • I got married or divorced
  • I had a baby
  • A member of my family died
  • I moved to another state
  • i lost my job
  • I started a new job
  • I lost my health insurance coverage
and
Your income is under:
  • $45,960 - Individuals
  • $62,040 - Family of 2
  • $78,120 - Family of 3
  • $94,200 - Family of 4
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