What occurs on the effective date when a member switches from a Medicare Supplement Insurance Plan to a Medicare Advantage plan?

What occurs on the effective date when a member switches from a Medicare Supplement Insurance Plan to a Medicare Advantage plan?

• A. They retain both plans temporarily
• B. They lose coverage under the previous plans
• C. They can only maintain the Medicare Supplement plan
• D. No changes are made until next enrollment

Answer: (B)

When a member switches from a Medicare Supplement Insurance Plan to a Medicare Advantage plan, they lose coverage under the previous plan on the effective date of the new coverage. This transition means that the member cannot hold both types of plans simultaneously, as Medicare Supplement plans are designed to work alongside Original Medicare, whereas Medicare Advantage plans replace Original Medicare. Once the member enrolls in a Medicare Advantage plan, the effective date signifies the start of the new coverage, effectively terminating the Medicare Supplement plan. It is important for beneficiaries to understand this aspect of coverage changes, as it ensures that they are fully aware of their coverage status and the benefits available to them under the Medicare Advantage plan. Being informed about this transition helps beneficiaries avoid any potential gaps in coverage and allows them to navigate their healthcare options more effectively.

When a member switches from a Medicare Supplement Insurance Plan to a Medicare Advantage plan, they lose coverage under the previous plan on the effective date of the new coverage. This transition means that the member cannot hold both types of plans simultaneously, as Medicare Supplement plans are designed to work alongside Original Medicare, whereas Medicare Advantage plans replace Original Medicare.

Once the member enrolls in a Medicare Advantage plan, the effective date signifies the start of the new coverage, effectively terminating the Medicare Supplement plan. It is important for beneficiaries to understand this aspect of coverage changes, as it ensures that they are fully aware of their coverage status and the benefits available to them under the Medicare Advantage plan. Being informed about this transition helps beneficiaries avoid any potential gaps in coverage and allows them to navigate their healthcare options more effectively.