Medicare Supplement Underwriting Process Detailed for Applicants
Private insurance companies offering Medicare Supplement (Medigap) plans utilize an underwriting process to assess an applicant's health risk. This process typically involves a health questionnaire, review of medical records, and checks against health history and prescription drug use databases. The goal of underwriting is to manage costs and determine eligibility, as well as the premium cost for coverage, outside of guaranteed-issue periods. While some chronic conditions may lead to denial, many applicants successfully navigate the process. Common questions during underwriting include age, gender, substance use, chronic conditions, major medical care history, prescription medications, family health history, physical and mental health history, and body mass index. Certain conditions, such as AIDS, Alzheimer's, current cancer treatment, cirrhosis, COPD, congestive heart failure, stroke, uncontrolled diabetes, kidney failure, and neurological disorders, are frequently cited as reasons for Medigap coverage de...