Agent’s Guide to MACRA

MACRA: How it Affects Your Clients and What You Can Do to Help


When clients have questions about their Medicare options, they look to their agents for trustworthy guidance.  The good news is that MOO here to help answer their questions and to cut through the confusion. 

What is MACRA?

MACRA stands for the Medicare Access and CHIP Reauthorization Act of 2015.  The new rule states that as of January 1, 2020, newly-eligible Medicare beneficiaries won’t be able to purchase Medicare supplement plans that cover the Part B deductible.  This includes Medicare supplement Plans C, F, High-Deductible F (and Minnesota and Wisconsin Part B deductible coverage).

How does this affect clients?

Medicare-eligible through December 31, 2019

For clients who are already Medicare-eligible or will be through December 31, 2019, their Medicare options are the same as they’ve always been.  They can keep their existing plans or purchase any that cover the Part B deductible.

Medicare-eligible January 1, 2020, and after

The MACRA rule will impact clients who become Medicare-eligible after December 31, 2019, as they’re considered “newly-eligible” and won’t be able to purchase plans that cover the Part B deductible. Their plan choices include some type of cost-share.

How can you help?

Clients look to their agents for advice so please take the time to explain this new rule with them.

For those who are either current Medicare supplement policyholders or are Medicare eligible prior to January 1, 2020, assure them their Medicare supplement options are unchanged and no action is required.

MOO will provide agents with a consumer-facing flier explaining the impact to the current and future clients for the agents’ convenience.


High-Deductible Plan G New for 2020!

MACRA includes a new High-Deductible Plan G for policy effective dates January 1, 2020, and after.  Mutual of Omaha will add it to our product lineup in most state.  Look for details this summer.


Policyholder Awareness Campaign

In March, MOO began sending a communication to all Medicare Supplement policyholders telling them they may keep their current plan.  Policyholders also will see reassuring messages from them online.

Click to view MOO Med Supp Plan Choices

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