<?xml version='1.0' encoding='utf-8'?>
<section article="gin" article_name="Insurance" number="15-906" title_number="15" title_name="Health Insurance" subtitle_number="9" subtitle_name="Medicare Supplement Act">
  <level label="a">
    <text>A Medicare supplement policy shall provide the minimum benefits required by federal law.</text>
  </level>
  <level label="b">
    <level label="1">
      <text>For benefits designed to cover deductibles or coinsurance amounts under Medicare, a Medicare supplement policy shall provide for an automatic change in those benefits to coincide with changes in applicable Medicare deductible and copayment provisions.</text>
    </level>
    <level label="2">
      <text>Subject to approval by the Commissioner, a carrier may reserve the right in a Medicare supplement policy to change premiums to correspond with changes in benefits under paragraph (1) of this subsection.</text>
    </level>
  </level>
  <level label="c">
    <text>Payment of a benefit for a Medicare eligible expense under a Medicare supplement policy may be conditioned on the same or less restrictive payment conditions that apply to a Medicare claim, including the determination of medical necessity.</text>
  </level>
  <level label="d">
    <level label="1">
      <text>Unless otherwise expressly authorized under this article or a regulation adopted by the Commissioner under this article, coverage under a Medicare supplement policy may not be subject to any exclusion, limitation, or reduction that is inconsistent with the exclusions, limitations, or reductions under Medicare.</text>
    </level>
    <level label="2">
      <text>To the extent a benefit is available to the insured under Medicare, a Medicare supplement policy shall provide that coverage for the benefit is not duplicated.</text>
    </level>
  </level>
  <level label="e">
    <text>If the insured is receiving medical assistance under Medicaid, a Medicare supplement policy shall provide for the suspension of policy benefits and premiums for a maximum of 24 months.</text>
  </level>
  <level label="f">
    <level label="1">
      <text>A Medicare supplement policy, contract, or certificate in force in the State may not provide benefits that duplicate benefits provided by Medicare.</text>
    </level>
    <level label="2">
      <text>Unless approved by the Commissioner, a Medicare supplement policy may not be offered at an introductory premium rate.</text>
    </level>
  </level>
</section>
