{"data":{"id":"us-md/md.-code-insurance-15-906","jurisdiction":"us-md","citation":"Md. Code, Insurance § 15–906","heading":"","body":"(a) A Medicare supplement policy shall provide the minimum benefits required by federal law.\n(b) (1) 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.\n(2) 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.\n(c) 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.\n(d) (1) 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.\n(2) 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.\n(e) 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.\n(f) (1) A Medicare supplement policy, contract, or certificate in force in the State may not provide benefits that duplicate benefits provided by Medicare.\n(2) Unless approved by the Commissioner, a Medicare supplement policy may not be offered at an introductory premium rate.","path":["Article - Insurance"],"source_url":"https://mgaleg.maryland.gov/mgawebsite/Laws/StatuteText?article=gin\u0026section=15-906","current_through":"2026-01-01","vintage":"","retrieved_at":"2026-09-14T19:59:28Z","sha256":"bfd5a688e48243cbb2f4917cf174a27b8b537739e4ac368185e3c232068baaf2","source_id":"us-md","stale":false,"prev":"us-md/md.-code-insurance-15-905","next":"us-md/md.-code-insurance-15-907"},"notice":"GroundRules: Original legal text. Not legal advice."}
