Can Medicare drop me for health reasons?
Answered by 9 licensed agents
Answered by Anthony Castelluccio on April 28, 2025
Agent Licensed in PA, DE, MD, NJ & VA
Answered by Leslie Helene Sussman on May 2, 2025
Broker Licensed in NJ, DE, FL & PA
Answered by Aaron Solomon on April 28, 2025
Broker Licensed in OH, LA & TX
Medicare is a federal health insurance program, and it does not have the ability to deny or drop coverage based on your medical condition.
However, Medicare Advantage plans (Part C) can be dropped, but not for health reasons.
Answered by Fred Manas on April 28, 2025
Agent Licensed in NY, CT, DC & 7 other states
Answered by Tony Hardwick on April 28, 2025
Agent Licensed in GA, AZ, CA & 15 other states
Answered by Louanne Allison on April 28, 2025
Agent Licensed in MI, FL, IL & OH, TN, TX & UT
Answered by Eizel Mere on April 28, 2025
Broker Licensed in FL
Mostly no, but several exceptions:
Original Medicare and Medicare Advantage plans don't drop people for medical conditions generally, although recovering from a medical condition and then from Social Security Disability qualification could be a health condition issue in reverse, for those under 65. They got well and were dropped from Medicare if under age 65.
Medicare supplements and disqualification:
1. for new applicants: if there is no special enrollment period like moving to another state, losing employer coverage, turning 65, new to Part B, etc. Then Medicare supplements generally require answering medical questions in order to qualify for their coverage. A higher rate or declining the application could occur.
2. If the premium is not paid on an existing Medicare Supplement during the specific plan's grace period, there would likely be medical questions to answer same as a new applicant in general, and they can be declined a reinstatement of the plan.
3. Medicare Advantage limited situations:
perhaps if someone was not truthful or misunderstood the rules with some special needs Medicare Advantage plans had enrolled and was found unqualified for one of those plans requring specific health conditions, they could be disenrolled. Very likely after the disenrollment notice to be able to enroll in a plan suited to their situation as a limited time special election period.
Answered by Phyllis Dixon on April 28, 2025
Agent Licensed in VA, MD & SC
Answered by Ingrid Kollmann on April 27, 2025
Agent Licensed in CA
Tags: Advice for Seniors Eligibility The Medicare System
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