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ShazzieB

(22,075 posts)
20. I got caught by that pre-existing conditions thing, too, the first time I applied for a Medicare supplement
Tue Dec 9, 2025, 01:13 AM
Yesterday

One of the underwriter's questions was "Do you have any surgeries scheduled or planned for the coming year?" I said, "Yes, I'm planning to have cataract surgery on my right eye." (I'd already had the left one done.) They flat turned me down just for that. I was shocked that they would do that for something as routine as cataract surgery, on only one eye, but the letter from the insurance co. made it clear that's what it was!

I think it's bonkers that the aca rule about not disqualifying people for pre-existing conditions doesn't apply to Medicare supplements, but the reason I was turned down seemed doubly bonkers to me. I went ahead and had the surgery with only my Medicare parts A & B coverage, and the amount I had to pay out of pocket fortunately was an amount I could handle. Applied for a supplement again the following year and was approved with no problem. Nothing else had changed except that!

I can't remember the details, but I know the reason we had to go through underwriting was because we waited too long to apply after my husband "retired" (quotes because he was actually laid off, but it ended up turning into his retirement). I was told that if we had applied for a supplement within a certain amount of time after the coverage from his employer ended, it would have been an automatic thing.

I know none of that info helps you, and I hate that you've gotten caught in this bind. But maybe it will be of use to someone else!

Recommendations

0 members have recommended this reply (displayed in chronological order):

Do you have a Medicare Advantage plan now? Freddie Monday #1
No those advantage plans are a rip off KS Toronado Monday #3
Good Freddie Monday #5
i use traditional "real" medicare rampartd Monday #9
I have basic Medicare Jilly_in_VA Monday #2
That 20% they don't pay is eating me alive KS Toronado Monday #6
Same here I don't even have prescription drugs Walleye Monday #8
I have traditional with an AARP supplement Freddie Monday #4
I think the supplemental is called Medigap bucolic_frolic Monday #7
Try Farm Bureau Health & call your senior center & council on aging! SheltieLover Monday #10
FWIW....I recently learned that all medical billing is negotiable. anciano Monday #11
I asked my husband, who knows quite a bit about whathehell Monday #12
Unfortunately you are correct Freddie Monday #14
I got 'put on' MA when I first contacted someone to come explain the differences slightlv Monday #13
Don't kill the messenger Lulu KC Monday #15
Oh--but not if you're young enough! Lulu KC Monday #19
check this out Nigrum Cattus Monday #16
I have Plan "N" supplement here in Maryland wolfie001 Monday #17
If one turned 65 within the last year the rules are different IbogaProject Monday #18
I got caught by that pre-existing conditions thing, too, the first time I applied for a Medicare supplement ShazzieB Yesterday #20
Are you referring to the *Medigap* Open Enrollment Period or the *Medicare* Open Enrollment Period? sl8 Yesterday #21
Latest Discussions»Issue Forums»Health»Was looking to get a supp...»Reply #20