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.
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.