According to the State Health Insurance Assistance Programs, SHIP, due to a new bill, SEA 215, that was introduced and passed in Indiana in Spring 2024, beginning Jan. 1, there will be a guaranteed issue into medigap plans for people under 65.
The department stated that due to the bill, after Dec. 31, any Medicare Supplement Plan, Medigap, that is available to those with Medicare will also be required to provide that same plan, or an equivalent plan, for those with Medicare due to disability or ESRD.
According to the department, anyone on Medicare under the age of 65 prior to Jan. 1 will have a six-month window to sign up for a Medigap Plan. Anyone enrolling into Medicare under the age of 65 after Jan. 1 will be granted their own six-moth guaranteed enrollment window beginning from the first day of the month their Medicare begins.
Rules that will apply to health insurance providers:
Issuers may not deny or condition issuance of Medicare supplement policy because of health status, claims experience, receipt of health care, or medical condition of an individual.
Issuers may not charge a premium rate for Plans A, B, or D that exceeds the premium rate an issuer charges to those age 65 for same Medicare supplement policy.
Issuers may not charge a premium rate for any other standardized letter Medicare supplement policy that exceeds 200% of premium charged to those age 65 for the same Medicare supplement policy.
Issuers may not issue policy that contains a waiting period or preexisting condition limitation or exclusion.
