Eligibility

You are guaranteed acceptance during your open enrollment window

Coverage is available to you regardless of age, health status or medical conditions if you enroll during this window.

Your window occurs:

  • If you are already 65, within 6 calendar months immediately following the month you enroll in Medicare Part B
  • Within 6 calendar months of your 65th birthday

Calculate your open enrollment window

Enrollment in 65Plus Platinum

You are eligible if you are:

  • Age 65 and older, or disabled
  • Enrolled in Medicare Parts A and B
  • A Wisconsin resident and live within Health Tradition Health Plan’s service area at least 245 days each year (Buffalo, Crawford, Grant, Jackson, Juneau, La Crosse, Monroe, Richland, Sauk, Trempealeau or Vernon county)

You have a guaranteed acceptance for other reasons

If you are outside of your open enrollment period, you may have the right to enroll in a Medicare Select or Medicare Supplement regardless of your health status if your other health coverage terminates. You have the right to a guaranteed issue acceptance if:

  • Your Medicare Advantage or Medicare cost plan stops participating in Medicare or providing care in your service area
  • You move outside the plan’s geographic service area
  • You leave the health plan because it failed to meet its contract obligations to you
  • Your employer group health plan ends some or all of your coverage
  • You terminate your employer group plan to join a Medicare Advantage plan but leave the Medicare Advantage plan within 12 months of enrollment
  • Your Medicare supplement insurance company ends your Medicare supplement or Medicare select policy and you are not at fault
  • You drop your Medicare supplement policy to join a Medicare Advantage Plan, a Medicare cost plan, or buy a Medicare select policy for the first time, and then leave the plan or policy within one year after joining. However, you may only return to the policy under which you were originally covered, if available
  • You join a Medicare Advantage Plan or a Medicare cost plan when you first become eligible for Medicare Part A and Part B at age 65 and within one year of joining you decide to leave the health plan
  • You have Medicare Parts A and B and are covered under Medical Assistance and lose eligibility in Medical Assistance
  • Your employer group plan increases your cost from one 12-month period to the next by more than 25% and the new payment for the employer-sponsored coverage is greater than the premium charged under the Medicare supplement plan the individual is applying for

HTHP-3011