Medicare provides affordable health insurance to American citizens who are 65 years of age and above. It is a subsidized health insurance initiative which has been launched by the U. S federal government. Medicare provides health insurance benefits for people suffering from chronic kidney disorders and other disabilities. Many people what to know – can Medicare coverage be lost and what do they need to do in situations where they lose their Medicare coverage? Well, in case Medicare Coverage is lost, members can always regain the health benefits by following some simple procedures and with the help of some guaranteed issue rights which are laid down by the government.

Medicare is divided into four different parts which are as follows:

• Medicare Part A covers expert medical services and hospital stays.
• Medicare Part B covers outpatient care and costs of blood tests etc.
• Medicare Part C or Medicare Advantage covers everything in parts A and B with the help of supplemental plans that are offered by private insurance companies which have been approved by Medicare.
• Medicare Part D provides coverage only for prescription drugs.

At times, Medicare members may lose their cover due to certain situations. In case Medicare coverage is lost, they are often confused with regards to what needs to be done in order to regain their health benefits. According to the new government laws, Medicare members should not lose their health insurance benefits. Mentioned below are circumstances wherein Medicare coverage cannot be continued as well as the necessary steps that are needed for reinstatement:

1) In case Medicare coverage is lost due to the following reasons, members are eligible to return to Original Medicare and also opt for a Medicare supplement plan within 63 days:

a. In case the Medicare Advantage Plan ends and does not provide coverage in your locality.

b. In case a member relocates to an area which is not in the Medicare Advantage service area.

c. In case a member voluntarily opts to leave a plan.

2) In a situation where a member is no longer eligible for health benefits under the Social Security Act, they are guaranteed a Medicare supplement plan which can be got from any issuing company provided they apply within 63 days from loss of coverage.

3) If Medicare supplement coverage is lost due to the reasons mentioned below, the member is eligible to buy another Medicare supplement policy. However, the policy will be issued by the insurance company only if the member applies within 63 days of losing the health benefits:

a. If the insurance company violates certain policy provisions

b. Involuntary end of coverage

c. If the insurance company is bankrupt or declares insolvency and you lose the coverage due to no fault of yours

4) If employees are enrolled under a group health insurance plan and the plan terminates the coverage due to some reasons, individuals have the right to get a Medicare supplement policy and choose from Plan A, B, C, F, K or L. Even though a member suffers from any health problems, the insurance company issues the policy if the application is submitted within 63 days after an employee loses the coverage.

All the rights mentioned above help senior citizens as well as disabled members to enrolled with Medicare and follow the right procedure in case Medicare coverage is lost, thereby helping them get back their health benefits.
It is hoped that this brief post has answered your queries regarding can Medicare coverage be lost and helped you to understand what you need to do. In case of further queries, members can always contact the Medicare centre.