The standards in this section are applicable to any 2020 plan
delivered or issued for delivery in this state to an individual newly eligible
for Medicare with an effective date of coverage on or after January 1, 2020. A
policy or certificate that provides coverage of the Medicare Part B deductible
may not be advertised, solicited, delivered, or issued for delivery in this
state as a Medicare supplement insurance policy or certificate to an individual
newly eligible for Medicare on or after January 1, 2020. A policy or
certificate may not be advertised, solicited, delivered, or issued for delivery
unless it complies with the standards in this section.
(1) The standards and requirements of Section
R590-146-9a apply to a 2020 plan except:
(a)
Plan C is redesignated as Plan D and shall provide the benefits in Subsection
R590-146-9a(5)(c) but may not provide coverage for any portion of the Medicare
Part B deductible;
(b) Plan F is
redesignated as Plan G and shall provide the benefits in Subsection
R590-146-9a(5)(e) but may not provide coverage for any portion of the Medicare
Part B deductible;
(c) Plan C, F,
or High Deductible F may not be offered to an individual newly eligible for
Medicare on or after January 1, 2020;
(d) Plan High Deductible F is redesignated as
Plan High Deductible G and shall provide the benefits in Subsection
R590-146-9a(5)(f) but may not provide coverage for any portion of the Medicare
Part B deductible, provided that the Medicare Part B deductible paid by the
insured is considered an out-of-pocket expense in meeting the annual high
deductible; and
(e) the reference
to Plan C or F under Subsection R590-146-9a(1)(b) is considered a reference to
Plan D or G for purposes of this section.
(2) This section applies to an individual who
is newly eligible for Medicare on or after January 1, 2020:
(a) by reason of attaining age 65 on or after
January 1, 2020; or
(b) by reason
of entitlement to benefits under Medicare Part A pursuant to Section 226(b) or
226A of the Social Security Act, or who is considered to be eligible for
benefits under Section 226(a) of the Social Security Act on or after January 1,
2020.
(3) For purposes of
Subsection R590-146-12(5), in the case of an individual who is newly eligible
for Medicare on or after January 1, 2020, a reference to Plan C or F, including
High Deductible F, shall be deemed to be a reference to Plan D or G, including
High Deductible G, respectively, that meet the requirements of this
section.
(4) On or after January 1,
2020, the plans under Subsection (1)(d) may be offered to an individual who was
eligible for Medicare prior to January 1, 2020, in addition to the standardized
plans under Subsection R590-146-9a(5).
