Mrs. Radford asks whether

Mrs. Radford asks whether there are any special eligibility requirements for Medicare Advantage. What should you tell her? Question 4Select one: a. Mrs. Radford must apply to the Medicare Advantage plan, which will include a medical review, before being accepted and enrolled. b. Mrs. Radford must be entitled to Part A and enrolled in Part B to enroll in Medicare Advantage. c. Mrs. Radford can enroll in any Medicare Advantage plan that operates within the United States. d. Mrs. Radford must be enrolled in both Medigap and Part A to enroll in a Medicare Advantage plan.

b. Mrs. Radford must be entitled to Part A and enrolled in Part B to enroll in Medicare Advantage.

To be eligible for Medicare Advantage (also known as Medicare Part C), Mrs. Radford must have both Medicare Part A (Hospital Insurance) and be enrolled in Part B (Medical Insurance). Medicare Advantage plans are offered by private insurance companies and provide all the benefits of Original Medicare (Part A and Part B) plus additional benefits. It’s important for her to have both parts of Medicare to be eligible for a Medicare Advantage plan.

d. Mrs. Ramos can obtain care from any provider who participates in Original Medicare, but generally will have a higher cost-sharing amount if she sees a provider who is not a part of the PPO network.

With a Medicare Advantage PPO, Mrs. Ramos will have the flexibility to receive care from any provider who accepts Medicare (providers who participate in Original Medicare). However, if she chooses to see a provider who is not in the PPO network, she may have to pay higher cost-sharing amounts, such as higher copayments or coinsurance. It’s essential for her to consider the cost implications and choose providers within the PPO network to potentially reduce her out-of-pocket expenses.

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