Medigap plans fill many of the gaps in standard Medicare Part A inpatient hospitalization coverage and Medicare Part B medical and outpatient services coverage. For many customers, the combination of Medigap coverage with Medicare Part B “Original Medicare” coverage is an alternative to purchasing Medicare Advantage plans.
Users of Medigap policies face little active management by insurers of their care utilization, and they have no incentive to visit doctors and hospitals within a managed care plan’s network of providers.
Because Medigap issuers can utilize medical underwriting in most states when policyholders switch plans, customers with Medigap policies who have medical conditions and are not eligible for special enrollment opportunities may have trouble switching to different Medigap fonts.
But AAMSI found that 42% of participating agents said the main reason their clients switched plans was cheaper Medigap policies. About 41% said the main driver was the shift from Medigap policies to Medicare Advantage plan coverage.
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