When you are speaking to insurance representatives about Medigap policies, here are some questions to keep in mind:

  • Am I enrolling while I am in my open enrollment period? If not, do I have a guaranteed issue right?
  • What is the Medigap policy’s monthly premium?
  • Is this premium based on my:
  • Are the premiums:
    • No-age-rated (community-rated), meaning everyone in my area pays the same premium regardless of their age?
    • Issue-age-rated, meaning the premium is based on how old I was when I bought the policy?
    • Attained-age-rated, meaning the premium increases based on my age?
  • Will the company refuse to sell me a Medigap based on my health status?
  • Does the policy impose a pre-existing condition waiting period?
    • How long is the waiting period before my coverage begins?
    • Do I have prior creditable coverage to reduce my waiting period?

Other considerations

  • If you do not have the right to buy a Medigap, ask the insurance representative how much extra you will be charged for purchasing one.
  • If you are under 65, make sure the company you are considering sells to individuals under 65.
  • Remember to keep track of who you spoke with, when you spoke with them, and the outcome of the call.