Standard Medicare Supplement Benefit Plans for 2020
Standardized Medicare Supplement Benefit Plan Policies or Certificates Issued
for Delivery to Individuals Newly Eligible for Medicare on or After January 1,
2020.
The Medicare Access and CHIP Reauthorization Act of 2015
(MACRA) requires the following standards are applicable to all Medicare
supplement policies or certificates delivered or issued for delivery in this
state to individuals newly eligible for Medicare on or after January 1, 2020.
No policy or certificate that provides coverage of the Medicare Part B
deductible may be advertised, solicited, delivered or issued for delivery in
this state as a Medicare supplement policy or certificate to individuals newly
eligible for Medicare on or after January 1, 2020. All policies must comply
with the following benefit standards. Benefit plan standards applicable to
Medicare supplement policies and certificates issued to individuals eligible
for Medicare before January 1, 2020, remain subject to the requirements of
Miss. Code Ann. §
83-9-101
to 115, and this regulation.
A.
Benefit Requirements.The standards and requirements of Rule
10.09.1 shall apply to all Medicare
supplement policies or certificates deliveredor issued for delivery to
individuals newly eligible for Medicare on or after January 1, 2020, with the
following exceptions:
1. Standardized
Medicare supplement benefit Plan C is redesignated as Plan D and shall provide
the benefits contained in Rule
10.09.1 E(3) of this regulation but
shall not provide coverage for one hundred percent (100¢) or any portion of the
Medicare Part B deductible.
2.
Standardized Medicare supplement benefit Plan F is redesignated as Plan G and
shall provide the benefits contained in Rule
10.09.1 E(5) of this regulation but
shall not provide coverage for one hundred percent (100¢) or any portion of the
Medicare Part B deductible.
3.
Standardized Medicare supplement benefit plans C, F, and F with High Deductible
may not be offered to individuals newly eligible for Medicare on or after
January 1, 2020.
4. Standardized
Medicare supplement benefit Plan F With High Deductible is redesignated as Plan
G With High Deductible and shall provide the benefits contained in Rule
10.09.1 E(6)of this regulation but
shall not provide coverage for one hundred percent (100¢) or any portion of the
Medicare Part B deductible; provided further that, the Medicare Part B
deductible paid by the beneficiary shall be considered an out-of-pocket expense
in meeting the annual high deductible.
5. The reference to Plans C or F contained in
Rule
10.09.1 A(2) is deemed a reference
to Plans D or G for purposes of this section.
B. Applicability to Certain Individuals. This
Rule 10.09.2, applies to only individuals that are newly eligible for Medicare
on or after January 1, 2020:
1. By reason of
attaining age 65 on or after January 1, 2020; or
2. By reason of entitlement to benefits under
part A pursuant to Section 226(b) or 226A of the Social Security Act, or who is
deemed to be eligible for benefits under Section 226(a) of the Social Security
Act on or after January 1, 2020.
C. Guaranteed Issue for Eligible Persons. For
purposes of Rule
10.12 E, in the case of any
individual newly eligible for Medicare on or after January 1, 2020, any
reference to a Medicare supplement policy C or F (including F With High
Deductible) shall be deemed to be a reference to Medicare supplement policy D
or G (including G With High Deductible), respectively, that meet the
requirements of this Rule 10.09.2 A.
D. Applicability to Waivered States. In the
case of a State described in Section 1882(p)(6) of the Social Security Act
("waivered" alternative simplification states) MACRA prohibits the coverage of
the Medicare Part B deductible for any Medicare supplement policy sold or
issued to an individual that is newly eligible for Medicare on or after January
1, 2020.
E. Offer of Redesignated
Plans to Individuals Other Than Newly Eligible. On or after January 1, 2020,
the standardized benefit plans described in Subparagraph A(4), above may be
offered to any individual who was eligible for Medicare prior to January 1,
2020, in addition to the standardized plans described in Rule
10.09.1 E of this regulation.
