Connecticut Administrative Code › Title 38a - Insurance Department › 495a - Medicare Supplement Insurance › Section 38a-495a-6b - Standard Medicare Supplement Benefit Plans for 2020 Standardized Medicare Supplement Benefits Plan Policies or Certificates Issued for Delivery to Individuals Newly Eligible for Medicare on or After January 1, 2020

Current through July 10, 2024
The Medicare Access and CHIP Reauthorization Act of 2015
				(MACRA) requires that the standards set forth in this section be applied 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. Benefits plan standards
				applicable to Medicare supplement policies and certificates issued to
				individuals newly eligible for Medicare on or after January 1, 2020 must comply
				with the benefit standards of subsections (a)(1) and (a)(5) of this section.
				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 sections
				38a-495a-5
				and
				38a-495a-5
				a of the Regulations of Connecticut State Agencies.
(a)
Benefit Requirements.
The
			 standards and requirements of section
			 38a-495a-6
			 a of the Regulations of Connecticut State Agencies shall apply to all Medicare
			 supplement policies or certificates delivered or 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 subsection (e)(3) of section
			 38a-495a-6
			 a of the Regulations of Connecticut State Agencies, but shall not provide
			 coverage for one hundred percent 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 subsection (e)(5) of section
			 38a-495a-6
			 a of the Regulations of Connecticut State Agencies, but shall not provide
			 coverage for one hundred percent of 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 subsection (e)(6)
			 of section
			 38a-495a-6
			 a of the Regulations of Connecticut State Agencies, but shall not provide
			 coverage for one hundred percent 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 subsection (a)(1)(B) of section
			 38a-495a-6
			 a of the Regulations of Connecticut State Agencies is deemed a reference to
			 Plans D or G for purposes of this section.