Section 89.789. Prohibition against preexisting conditions, waiting periods, elimination periods and probationary periods in replacement policies or certificates

(a) If a Medicare supplement policy or certificate replaces another Medicare supplement policy or certificate, the replacing issuer shall waive time periods applicable to preexisting conditions, waiting periods, elimination periods and probationary periods in the new Medicare supplement policy or certificate for similar benefits to the extent the time was spent under the original policy.

(b) If a Medicare supplement policy or certificate replaces another Medicare supplement policy or certificate which has been in effect for at least 6 months, the replacing policy may not provide a time period applicable to preexisting conditions, waiting periods, elimination periods and probationary periods for benefits similar to those contained in the original policy or certificate.

The provisions of this § 89.789 adopted July 24, 1992, effective July 25, 1992, 22 Pa.B. 3841.

Notation

Cross References

This section cited in 31 Pa. Code § 89.778 (relating to open enrollment).