Understanding MACRA

MACRA goes in to effect January 1, 2020, but this could start affecting your pitch for selling a Medicare supplement policy as early as July 1st. If the carrier allows the client to sign the applicant up to six months prior to their 65th birthday.

A Guide to MACRA

Medicare Access and CHIP Reauthorization Act of 2015

What is the new rule, and what does it mean?

What is MARCA?

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) is a federal law that affects plans that can be sold to newly-eligible Medicare beneficiaries; they will not be able to purchase plans that cover the Part B deductible. These are Medicare supplement Plans C, F, High-Deductible F, and Massachusetts, Minnesota, and Wisconsin Part B deductible coverage.

What does it mean?

If you are currently Medicare-eligible you are not affected. Or if you become Medicare-eligible on or before December 31, 2019, you will not be affected.

Newly-eligible are those who first become eligible for Medicare due to turning age 65, disability, or end-stage renal disease on or after January 1, 2020.

Medicare-eligible on or before December 31, 2019.

Your Medicare supplement options remain the same as today.

You can still purchase a plan that covers the Part B deductible. (Plans C, F, High-Deductible F, and Massachusetts, Minnesota, and Wisconsin Part B deductible coverage.)

If you currently have a Medicare Supplement policy, there are NO changes in your coverage. Your policy will continue as long as premiums are paid on time.

Newly-eligible to Medicare on or after January 1, 2020.

Your Medicare supplement options will chance.

You cannot purchase a plan that covers the Part B deductible. (Plans C, F, High-Deductible F, and Massachusetts, Minnesota, and Wisconsin Part B deductible coverage.)

When you select Original Medicare for your health care coverage, you’ll be able to choose from many Medicare supplement plans available where offered. Benefits will vary, but no plan will cover the Medicare Part B calendar-year deductible.