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Personal Finance (Not Investing) • MediGap Underwriting, Moving Up to Plan G: What Do the Insur Cos Evaluate?

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I am in the midst of evaluating all my options for upcoming Medicare coverage as I am turning 65 yo. I fully realize you cannot predict your health needs & requirements into the future. But I am evaluating all my options such that I can make my own choice.

Say in a hypothetical scenario I choose a "Plan G-Hi Deductible" medigap plan. I go a few years, then decide it's time to change to a "G-plan" (not HD). I took the risk, I paid the lower premiums, it all worked out. But I am a few years older. Greater health issues are now a higher probability and more likely to occur. Time to avert some financial risk and move to a higher plan. The "New" G-Medigap plan I apply to will want to underwrite me to know how much of a risk I am.

I can imagine pre-existing conditions like diabetes, cancer, other problematic/chronic issues (read expensive for insur co) would get you rejected on application to a higher plan.

But say you are a generally healthy individual, only minor issue, non-smoker. Maybe on a cholesterol reducing statin, etc. What exactly do they evaluate? What do they look for? What is the threshold(s) for risks that get you a rejection or a "higher than normal rate"?

Anybody been through this? Know about this? Thanks.

Statistics: Posted by morsetaper2 — Fri Mar 22, 2024 9:13 am — Replies 3 — Views 148



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