(q) Medicare Select policies and certificates must
provide for continuation of coverage in the event the Secretary determines
that Medicare Select policies and certificates issued under this section
should be discontinued due to either the failure of the Medicare Select
Program to be reauthorized under law or its substantial amendment.
(1) Each Medicare Select issuer must make available
to each individual covered under a Medicare Select policy or certificate
the opportunity to purchase any Medicare supplement policy or certificate
offered by the issuer that has comparable or lesser benefits and that
does not contain a restricted network provision. The issuer must make
these policies and certificates available without requiring evidence
of insurability.
(2) For the purposes of this subsection, a Medicare
supplement policy or certificate will be considered to have comparable
or lesser benefits unless it contains one or more significant benefits
not included in the Medicare Select policy or certificate being replaced.
For the purpose of this paragraph, a significant benefit means coverage
for the Medicare Part A deductible, coverage for at-home recovery
services, or coverage for Part B excess charges.
(r) A Medicare Select issuer must comply with reasonable
requests for data made by state or federal agencies, including the
United States Department of Health and Human Services, for the purpose
of evaluating the Medicare Select Program.
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Source Note: The provisions of this §3.3325 adopted to be effective April 15, 1992, 17 TexReg 2238; amended to be effective January 1, 1997, 21 TexReg 10753; amended to be effective May 10, 2005, 30 TexReg 2669; amended to be effective June 13, 2018, 43 TexReg 3787 |