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Questions

Can I switch Medigap plans in Ohio?

Yes, you can apply to switch Medigap plans in Ohio at any time, to another letter or another company. But Ohio has no birthday rule or yearly switching right, so unless you are in your open enrollment period or have a guaranteed-issue right, the new company can ask health questions and may charge more or turn you down.

How switching works in Ohio

Ohio's Medigap rule, OAC 3901-8-08, gives you two kinds of windows in which a company must accept you regardless of your health: your one-time 6-month open enrollment at 65 with Part B, and specific guaranteed-issue events. There is no yearly window. Any other time, switching is up to the new company, which can use medical underwriting.

A bill, House Bill 24, would add a yearly birthday switching window. It has been proposed; it is not law.

When you can switch with no health questions

  • During your Medigap open enrollment. If you bought a policy and change your mind within your first 6 months, you can switch to any policy a company sells.
  • Your Medigap company ends your coverage through no fault of your own, goes bankrupt, breaks the rules or misled you. You have 63 days after the coverage ends.
  • You have a Medicare SELECT policy and move out of its area. Medicare.gov says you can buy certain Medigap plans in your state, or a SELECT policy in your new area.

Switching with underwriting

If none of those apply, you can still shop. The new company may ask about your health, prescriptions and recent treatment. If you're healthy, switching can lower your premium, especially if your current policy's rate has risen. If not, staying put may be safer: a Medigap policy is guaranteed renewable, and in Ohio a company can't cancel it because of your health, only for nonpayment or material misrepresentation.

How to switch safely

  1. Compare the same plan letter. Benefits for a letter are identical at every company, so compare price, rating method and rate history.
  2. Answer health questions honestly. Misstatements can be grounds to cancel the policy later.
  3. Wait for approval. Don't cancel your current policy until the new one is in force.
  4. Use the 30-day free look. Ohio's rule lets you return a new policy within 30 days of delivery for a refund (OAC 3901-8-08(T)(1)(e)).
  5. Cancel the old policy in writing. Keep a copy.

To compare Medigap policies from the companies they work with, you can request a call from a licensed insurance agent. Complaints about a company or agent go to ODI Consumer Services at 1-800-686-1526. See Medigap in Ohio.

Does Ohio have a Medigap birthday rule?

No, and what HB 24 would change.

Are Medigap rates based on age in Ohio?

The three pricing methods.

Medigap Plan G vs. Plan N

The two most-compared letters.

Sources

More questions in this guide

Part of the guide: Medigap (Medicare Supplement) in Ohio · All questions

Frequently asked questions

Will I have to wait for coverage of a pre-existing condition after switching?

If you've had your current policy for less than 6 months, the new policy may make you wait up to 6 months to cover a pre-existing condition, minus the months you've had your current policy or other creditable coverage, according to Medicare's Medigap guide.

Should I cancel my old policy first?

No. Keep it until the new company approves you and the new policy starts. You'll pay both premiums for the month you have both, and you have 30 days to return the new policy.

Can I switch during Medicare's fall Open Enrollment?

Fall Open Enrollment (October 15 to December 7) covers Medicare Advantage and Part D, not Medigap. You can apply for a new Medigap policy then, but the usual underwriting rules apply.

Licensed insurance agents for Ohio

These independent insurance agents are licensed in Ohio and work with Benefits Life, the publisher of this site. When they enroll you in a plan, the agent and Benefits Life may be paid by the insurance company. Learn more.

Rachael Winter

Rachael Winter

Accepting new clients

Independent licensed insurance agent in Ohio

Columbus

Chiara Lewis

Chiara Lewis

5.0 out of 5 stars (4 reviews on MedicareAgents.com)

Accepting new clients

Independent licensed insurance agent in Ohio

Littleton, CO · English

Floribel Merced Lopez

Floribel Merced Lopez

Accepting new clients

Independent licensed insurance agent in Ohio

Colorado Springs, CO · English, Spanish

Emily Montoya

Emily Montoya

5.0 out of 5 stars (15 reviews on MedicareAgents.com)

Accepting new clients

Independent licensed insurance agent in Ohio

Peyton, CO · English

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