"Building on the promise of the Affordable Care Act to protect all patients with pre-existing conditions from insurance discrimination, the Close the Medigap Act ensures Medigap plans offering relief for out-of-pocket costs don't come at an extra cost for the most vulnerable patients," said
The Close the Medigap Act would:
* Strengthen consumer protections to ensure that Medicare beneficiaries with pre-existing conditions can purchase a Medigap policy at any time without being denied coverage or subjected to higher premiums based on their health status. It would also extend protections to other individuals, including those enrolled in Medicare Advantage for more than 12 months, who wish to switch back to the traditional Medicare program.
* Call on the
* Call on the NAIC to review pricing standards for the Medigap market and prohibit the sale of policies that discriminate based on the age of individuals.
* Require the HHS Secretary to conduct a comprehensive review of the Plan Finder website to ensure that beneficiaries are able to make informed decisions regarding their coverage. This will ensure that consumers have access to complete and understandable information regarding tradeoffs between coverage options, including differences in out-of-pocket costs and Medicare Advantage provider networks.
* Restore access to the two most popular Medigap policies (Plans C and F), which provide first-dollar coverage of the Part A and B deductibles which were eliminated
* Require issuers to disclose payments made to Medigap brokers and agents. This information will be available to the public through the Open Payments database created by the Affordable Care Act.
This patient-first legislation was endorsed by