Can I get a Medigap plan with Guaranteed Issue if I'm losing my employer coverage?
Answered by 69 licensed agents
Answered by Joseph Bachmeier on April 2, 2025
Agent Licensed in PA, AZ, DE & 5 other states
Answered by Steve and Sue Brauer on April 8, 2025
Broker Licensed in AZ & CA
Answered by Mike Alexander on January 20, 2026
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Answered by Lt Col Tim Brown on May 22, 2025
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Answered by William Lawler on August 13, 2025
Broker Licensed in MO, FL, IA & 12 other states
Losing employer coverage is a qualifying event for guaranteed issue rights,
Answered by Bill Wheeler on July 21, 2025
Broker Licensed in KY & IN
Yes, losing your employer-sponsored health coverage is a common reason for a guaranteed issue right for a Medigap plan. This means you can buy a Medigap policy without medical underwriting, regardless of your health, and you must apply within a specific timeframe, usually 63 days after losing your coverage.
When you lose your coverage, sign up for Medicare Part B immediately to avoid late penalties. Then, apply for a Medigap plan within 63 days of your employer coverage ending.
Answered by John Becker on October 19, 2025
Agent Licensed in WI & MN
Answered by Shelly Hefley on August 21, 2025
Broker Licensed in IN, AL, IL, KY & TN
1. You're 65 or older and have Medicare Part B.
2. You're losing employer-sponsored group health coverage (this includes coverage through you or your spouse).
3. You apply for a Medigap plan within 63 days of the coverage ending.
Answered by Nikki Rowland on April 13, 2025
Broker Licensed in SC & NC
Answered by Paula Duffy on August 26, 2025
Agent Licensed in PA, FL, OH & WV
Which is 3 months before you turn 65 and 3 months sfter age 65
Answered by Roger Werking on May 5, 2025
Agent Licensed in FL
If you are losing employer/union coverage that supplements Original Medicare (including many retiree plans or COBRA): You generally have a federal Medigap “guaranteed issue” right. That means you can buy a Medigap policy without medical underwriting, and you typically must apply within 63 days of the coverage ending (or the date you are notified it is ending, depending on timing).
If you are losing active employer coverage and you are enrolling in Part B now: You may not be using “guaranteed issue,” but you typically get a 6‑month Medigap open enrollment period starting when Part B becomes effective, during which you can usually buy any Medigap plan sold in your state without underwriting.
If you are voluntarily dropping employer coverage that you could keep: You often do not get a guaranteed issue right.
Also, Medigap generally requires that you have Original Medicare (Part A and Part B), and guaranteed issue rights and plan availability can vary by state.
Answered by Richard Pagano on January 9, 2026
Agent Licensed in CA, AZ & OR
Hi Nolan, Poppel here. So, the question is, can I get a Medigap policy with guaranteed issue if I am losing my employer coverage? The answer is yes, you absolutely can. All you need to do is get proof of group health coverage from your employer showing that you've had the group plan. If you don't already have Medicare Part B, that's a good point to sign up for Medicare Part B. Then, once you have those two things, you can apply for whatever supplement plan you want.
And if you're in a state that does have medical underwriting, you will not have to answer any of the medical questions because your group insurance coverage is what they call credible coverage, which means at least as good as what Medicare says it has to be. And you can buy whatever supplement plan you want one time without having to answer those medical questions.
Answered by Nolan Popel on September 25, 2025
Agent Licensed in NY, AZ, CA & 15 other states
Answered by Michelle de Guzman on April 8, 2026
Broker Licensed in TX, AZ, CA & 10 other states
Answered by Joshua Allen on June 23, 2025
Broker Licensed in TX, AL, AZ & 20 other states
The short answer? Yes, you can.
When you lose creditable employer or union coverage, it usually triggers something called Guaranteed Issue rights. That’s a big deal because it means insurance companies must accept you for a Medigap plan, regardless of your health. No medical questions, no denials, just straightforward coverage.
Here are 3 things you’ll want to know:
1. The 63-Day Window:
You typically have 63 days after your employer coverage ends to enroll in a Medigap plan using these rights. This is a firm window, so it’s important not to let it slip by.
2. COBRA Can Be Misleading:
COBRA lets you keep your current plan for a period of time, but it doesn’t always work the way people expect with Medicare. In some cases, waiting on COBRA instead of moving forward with Part B and a Medigap plan can cause you to miss important timelines.
3. Your Plan Options
Depending on when you became eligible for Medicare, you’ll have access to certain standardized plans like Plan G or Plan N. These are designed to cover the out-of-pocket costs that Original Medicare doesn’t pay, like the 20% coinsurance.
Pro tip: Keep the letter from your employer that shows your coverage is ending. You may need it to confirm your eligibility for Guaranteed Issue.
If all of this feels a little overwhelming, that’s completely normal. This is exactly the kind of situation where having someone walk you through your options can make things a lot easier.
Answered by Rob Taylor on March 23, 2026
Broker Licensed in UT, AZ, IL, MO, NV & TX
Answered by Alma Preciado on January 5, 2026
Agent Licensed in CA
Answered by Frank Buonomo on February 9, 2026
Agent Licensed in NV, CA, ID & IL, NM, OR & TX
You only have 63 days to enroll after losing your employer coverage. I recommend signing up for the Medigap plan before employer coverage ends, so that you have coverage instead of going without coverage.
Answered by Diana Garner on April 24, 2025
Broker Licensed in KY, FL, IN, OH & TN
However these employer plans must be recognized as credible coverage.
Answered by Jim Tretola on October 26, 2025
Broker Licensed in NJ, CA, CT & 6 other states
Plan F: If born before January 1, 1955
Plan G: If born after January 1, 1955
Answered by Timothy Brown on April 24, 2025
Broker Licensed in PA, CT, DE & 15 other states
Answered by Michael Pyers on July 22, 2025
Broker Licensed in OH & MI
Answered by Walt Smith on August 25, 2025
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Answered by Michael Wallner on December 5, 2025
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Broker Licensed in TX, AZ & CA
Answered by Leslie Santos on September 19, 2025
Broker Licensed in FL & TX
Answered by Nicholas Ryckert on March 2, 2026
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Answered by Greg Giordano on August 1, 2025
Broker Licensed in FL, AZ, CO & 15 other states
Answered by Rosalind Ryan on June 4, 2025
Broker Licensed in GA, AL, FL & 8 other states
1.) if you are losing creditable employer-sponsored group coverage and are just now enrolling in Part B, then you have a Special Enrollment period to get an Rx plan within 62 days of creditable group coverage stopping. You also have the right to enroll in a supplement without underwriting for 6 months after enrolling in Part B.
2) If, however, you have been enrolled in Part B AND have participated in a creditable employer-sponsored group plan simultaneously (i.e. maintaining double coverage), you can enroll in a supplement without underwriting (i.e. Guaranteed Issuance, also called GI) if you can demonstrate that you've been covered under a group plan since turning 65.
My only disclaimer is that I have successfully used such strategy many times, but I don't know if every carrier would accept it as GI. I can only say that some would.
Answered by Bob Callahan on May 4, 2026
Broker Licensed in TX, CA, GA & 6 other states
Answered by Trina Knoche on September 29, 2025
Agent Licensed in WA, AK, MT & OR
Answered by Natalie Kelly on October 19, 2025
Agent Licensed in MN, AZ, ND, SD, TX & WI
Answered by Toyin Adeleye on November 24, 2025
Broker Licensed in NH
Here's a more detailed explanation:
Guaranteed Issue Rights:
These rights protect you from being denied coverage or having to go through medical underwriting when you enroll in a Medigap plan.
Losing Employer Coverage:
If your employer-sponsored retiree or union plan ends, you are eligible for guaranteed issue rights to enroll in a Medigap plan.
Timeframe:
You typically have a period (usually 63 days) from the date you lose your employer coverage to enroll in a Medigap plan under guaranteed issue rights.
No Medical Underwriting:
Because of guaranteed issue rights, insurers cannot deny your application for a Medigap plan or refuse to cover pre-existing conditions during this enrollment period.
Best Available Rate:
Insurers must offer you the best available rate for the Medigap plan you choose during the guaranteed issue period.
Important Considerations:
COBRA:
If you have COBRA coverage after your employer plan ends, you can buy a Medigap plan during or after your COBRA period.
State Variations:
While most states follow federal guaranteed issue rules, some may have additional protections or variations.
Contact SHIP:
You can contact your local State Health Insurance Assistance Program (SHIP) for more information and guidance.
Answered by Fred Manas on May 28, 2025
Agent Licensed in NY, CT, DC & 7 other states
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Answered by Mary Brown on May 19, 2026
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Answered by Todd Bostic on September 15, 2025
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Answered by Andrew Kelly on July 21, 2025
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Answered by Jaye Maxx Alexander II on September 1, 2025
Broker Licensed in NC, AK, AL & 47 other states
Answered by Adam Ernst on March 30, 2026
Agent Licensed in NC, SC & TN
The question is why wouldn't you consider a Medicare Advantage plan instead? The cost is lower or zero with more benefits. The Medigap plan has copays, deductibles and does not cover some things at all if Medicare does not cover it.
Answered by Jim Willis on June 9, 2025
Broker Licensed in AZ, CA, CO & 12 other states
Answered by Glenn Alterman on April 20, 2025
Broker Licensed in TX, AZ, CA & FL, NJ, OH & TN
Answered by David Christian on April 27, 2025
Broker Licensed in CA & TX
If you’re just now activating Medicare Part B because you’re losing group coverage, that triggers your Medigap Open Enrollment Period — a six-month window where you can enroll in any Medigap plan (like Plan G or N) with no health questions asked.
If you already had Part B and are simply losing employer coverage, you may instead qualify for a Guaranteed Issue window, which gives you 63 days to enroll in certain Medigap plans with no underwriting.
Both options protect you so you’re not penalized for leaving employer coverage.
Answered by Chad Hardy on November 24, 2025
Broker Licensed in TX, AL, AR & 8 other states
Answered by Natalee Nimmo on May 18, 2026
Broker Licensed in SC, FL, GA & KY, MO, NC & TX
Answered by Tristan Gibbs on April 7, 2026
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Answered by Robin Duffey on November 16, 2025
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Answered by Robert Evans on September 11, 2025
Agent Licensed in TX
Answered by Michael Gilman on March 10, 2026
Broker Licensed in NY
Answered by Diana Muhammad on September 23, 2025
Agent Licensed in IL, CA, FL & 8 other states
Answered by Robert Moore on May 29, 2025
Broker Licensed in IN, AL, IL & 11 other states
Answered by Lesley Burns on April 9, 2025
Broker Licensed in AR, MI, MO, NM & TX
You have a Guaranteed Issue window based on the EFFECTIVE DATE of your Medicare Part B.
You have a 2 Windows to sign up for Medicare Part B.
Window # 1 You are turning 65- you have a 7 month window
3 months before your Birth Month, your Birth Month , 3 months following your Birth Month.
Part B coverage starts the 1st day of your Birth Month.
Window # 2 Enrolling In Medicare Part B when losing Employer Coverage.
You have 8 months from Termination of Employer Coverage
to signup for Medicare Part B without a Penalty.
Part B coverage starts the 1st day of the Month.
These 2 windows Medicare Part B Enrollment Windows
will get you a Guaranteed Issue Medicare Supplement Plan.
These windows close 3 months after the Effective Date of Your Medicare Part B
Answered by Bill Holland on May 18, 2026
Broker Licensed in TN
Answered by Sarah Frome on August 18, 2025
Agent Licensed in MD, MI & VA
Answered by Zachary Montgomery on May 20, 2026
Agent Licensed in GA, AL, IA, IL, SC & TN
Answered by Johnnie Jeter on April 8, 2025
Broker Licensed in GA & OH
If you’re:
Age 65 or older, and
Losing group health insurance (from an employer or union, including COBRA),
you typically qualify for a 63-day Guaranteed Issue period starting the day your coverage ends.
Answered by Beverlyn Everage on August 4, 2025
Agent Licensed in GA, OH & TX
Answered by Jasmine Jones on March 23, 2026
Broker Licensed in VA, AL, AR & 20 other states
Getting part B allows you another IEP event which there is no medical underwriting
Answered by Kenneth Richter on November 17, 2025
Broker Licensed in FL, DC, DE, MD, SC & VA
Answered by Azalia Palma on May 4, 2026
Broker Licensed in FL, GA, LA & MI, NC, NJ & SC
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Agent Licensed in FL
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Agent Licensed in TX
Tags: Eligibility Medicare Supplement New To Medicare
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