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Official Guaranteed Issue rules. You have a few more days.
Based on reports from HP Alumni Association members who have completed enrollment. Join forums:
https://www.hpalumni.org
Not officially endorsed or supported. Question? Email us:
info@hpalumni.org
(Updated Dec 20, 2025)
If losing your health plan
(because HPInc or HPE dropped your group plan -- or because
your current insurer in no longer offering plans in your county)
you have a few more days to buy a Medigap plan for
2026 under the "guaranteed issue" rules.
"If you have a guaranteed issue right, an insurer: Must sell you
a Medigap policy. Must cover all your pre-existing health
conditions. Can't charge you more for a Medigap policy because
of past or present health problems." --Medicare
Buy your new policy before Dec 31 to avoid having a gap in
coverage. If you join a new plan after
Dec 31, coverage in the new plan won't start until the month after you join
-- as stated in the cancellation notice from your current
insurer. Depending on your financial
and health situation, and your personal tolerance for risk, you may want
take advantage of this one-time opportunity to move from your current
HPInc or HPE Advantage-level coverage to a more flexible Medigap plan --
without the normally-required evaluation of your current health.
(Summary of the Advantage vs Medigap decision:
https://www.hpalumni.org/enroll-advantage-medigap ) If an insurance sales agent (or an online policy application) insists on you answering
detailed health questions -- beyond "Are you disabled?" and "Do you use
tobacco?" -- you are undergoing medical underwriting. Stop the
application process immediately and insist on your guaranteed issue
right! Either the wrong box was
checked somewhere in the enrollment process -- or there is a system
problem. Needless to say, some
insurers make it difficult for you to exercise your guaranteed issue
rights. Note that the insurance
sales agent is filling in an online form provided by the insurer. Several members report that
their licensed AlightRHS agent did not understand this very complex
topic. If so, insist on speaking to a supervisor. (One member was asked by
the agent for their height and weight -- and answered. That application
is still stuck in "medical underwriting" limbo at the insurer. Based on
an escalation by HPAA, an AlightRHS expert is working on it.)
To see the official Medicare guaranteed issue rules, go to:
https://www.medicare.gov/health-drug-plans/medigap/ready-to-buy
Then click the "What are guaranteed issue rights?"
link to see the pop-up.
Here's a screenshot from
the official Medicare site -- with relevant items highlighted:
https://www.hpalumni.org/Medicare-GuaranteedIssue2.png The first row in the chart -- outlined in green in our screenshot -- applies if your current insurer is no longer offering plans in your county.
The second row in the chart -- outlined in blue in our screenshot -- applies if you have an HPInc group Medicare plan that is ending. Note the wording in the chart: "You have the right to buy... Medigap Plan A, B, C*, D*, F*,or G*, that’s sold by an insurer in your state." To verify what an insurance sales agent (at AlightRHS or elsewhere) is saying about Medigap plans available to you, use the Plan Finder on the official Medicare site to see all Medigap plans available in your state. https://www.medicare.gov/plan-compare Enter your ZIP code. Select "Medigap policy" and click "Find Plans." For any plan letter you are interested in (A through N), click "View Policies" to see all insurers who offer that plan letter in your state. (Notes: Some are small local or regional plans. The plan names indicate that some are for veterans or other specific groups. Some plans only sell direct or through a single agency.) Not all policies are available from AlightRHS. As with any agency, AlightRHS does not offer every plan available in your area. AARP/UHC plans. Many are not specifically listed on the AlightRHS plan selector, but are available by asking your AlightRHS agent -- as indicated in list of plans available to you. Alight agents may not understand this -- or may not know how to sell you an AARP/UHC plan. UnitedHealthcare is the largest Medicare insurer. UHC pays royalties to AARP for use of the brandname. Although an annual AARP membership is required (bought online with a credit card) AARP plans are not group plans. Members report that if your existing group policy is at UHC -- and you are purchasing an individual open-market policy from UHC -- you do not need to forward the letter from UHC about your disenrollment from the UHC group plan. Apparently UHC's system is smart enough to deal with that.
--cg, moderator and website maintainer Next step: Menu of key Enrollment issues: https://www.hpalumni.org/enroll-menu (Membership not required.)Link to this page: https://www.hpalumni.org/enroll-guaranteed-issue |
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