Medicare & Senior InsuranceQuestion 216 of 716

Under California's Medigap birthday rule, an existing policyholder may switch to:

a.Any Medigap plan sold in the state, including richer ones, but only once in a lifetime and only from the original carrier
b.A Medigap plan of equal or lesser benefits, every year around their birthday, without underwriting
c.Any Medigap plan, including more generous ones, every year but only after the new carrier completes medical underwriting
d.A Medicare Advantage plan only, in a window that opens each year on the birthday and closes when Part B is next billed

Explanation

The California birthday rule lets an existing Medigap policyholder switch each year, in a window beginning on the birthday, to a Medigap plan of equal or lesser benefits from any carrier, with no medical underwriting.

Law Reference: Cal. Ins. Code §10192.11

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Reviewed by John Zihao Zhang — California-Licensed Life Insurance Agent (CA Dept. of Insurance License #4396095 — verify)
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