Code of Massachusetts Regulations
211 CMR - DIVISION OF INSURANCE
Title 211 CMR 71.00 - Medicare Supplement Insurance To Facilitate The Implementation Of M.G.L. c. 176k And Section 1882 Of The Federal Social Security Act
Section 71.06 - Policy Limitations

Universal Citation: 211 MA Code of Regs 211.71

Current through Register 1531, September 27, 2024

(1) No Medicare Supplement Insurance Policy shall be advertised, solicited, issued, renewed, delivered or issued for delivery which contains any waiting period or preexisting condition limitation or exclusion.

(2) No Medicare Supplement Insurance Policy shall contain limitations or exclusions on coverage that are more restrictive than those of Medicare.

(3) Limitations on benefits shall be so labeled in a separate section of the Medicare Supplement Insurance Policy as well as placed with the benefit provisions to which they apply.

(4) No Medicare Supplement Insurance Policy shall contain benefits that duplicate benefits provided by Medicare. No Medicare Supplement Insurance Policy offered or sold after December 31, 2005 shall provide payment for drugs or biologicals eligible for coverage under Medicare Part D.

(5) A Medicare Supplement Insurance Policy with benefits for outpatient prescription drugs shall not be offered or sold after December 31, 2005. A Medicare Supplement 1 policy shall, on or after January 1, 2020, only be offered to Eligible Persons who:

(a) have attained 65 years of age before January 1, 2020; or

(b) first become eligible for Medicare due to age, disability or end-stage renal disease, before January 1, 2020.

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