• Compliance

NAIC MACRA Policy Update

What is MACRA?

The Medicare Access and CHIP Reauthorization Act of 2015 (“MACRA”) was signed into law on April 16, 2015. Section 401 of MACRA prohibits the sale of Medigap policies that cover Part B deductibles to “newly eligible” Medicare beneficiaries defined as those individuals who: (a) have attained age 65 on or after January 1, 2020; or (b) first become eligible for Medicare due to age, disability or end-stage renal disease, on or after January 1, 2020.

This federal regulation will no longer allow sales of plans C or F for clients whose Medicare Part A effective date is January 1, 2020 or later. Clients who are eligible for Medicare prior to January 1, 2020 can continue to choose plan C or F if that plan is available for sale in their state.

NOTE: In the states IN, OH, and NC (Select), the revisions for MACRA are still pending. Please be advised that plans C or F will not be available to clients who first become eligible for Medicare on or after January 1, 2020.  Clients who are eligible for Medicare prior to January 1, 2020 can continue to purchase plans C or F.

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