Some worry that when they sign up for Medicare, they will pay more if they have pre-existing health conditions.  That’s not true for Medicare or Medicare Advantage (MA) and Part D prescription plans.  This also holds true for supplemental policies (Medigap) only if you sign up for it during your six-month Medigap open enrollment period.  If you want it later, an insurance company can charge you more or refuse to sell you a policy because of your health status.

Source AARP Bulletin, June 2022.

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