For a beneficiary who enrolled in a MA-only plan during the Annual Election Period, they will not be able to enroll in a plan that offers prescription drug coverage until the following Annual Election Period; unless the beneficiary chooses to use their one-time election during the Open Enrollment Period or qualifies for a Special Election Period. … Read more

A PPO is a plan in which enrollees pay less if they use doctors, hospitals, and providers that belong to the network. Services obtained from doctors, hospitals and providers outside the network will result in additional costs to the member – unless the services are classified as an emergency. Select one: True

Prescription drug costs under Part D do not apply toward the medical out-of-pocket maximum. True

Which of the following statements is true? d. None of the above

Emergency care is always considered to be in network. Select one: True

Which of the following statements regarding eligibility criteria for Medicare Advantage PPO plans is true? d. All of the above statements are true.

If a beneficiary is enrolled in a MA-only PPO and they also sign up for a PDP plan, they will be automatically dropped from their MA plan. Select one: True