Question

When a member enrolls in a MA plan or PDP during AEP or a qualifying SEP, they will be ______ dis-enrolled from their current MA or PDP plan, even if its offered by a different provider.

Answer 1

When a member enrolls in a MA plan or PDP, they will be automatically dis-enrolled from their current plan, even if it's offered by a different provider.

Step-by-step explanation:

When a member enrolls in a MA plan or PDP during AEP or a qualifying SEP, they will be automatically dis-enrolled from their current MA or PDP plan, even if it's offered by a different provider.

This is done to ensure that individuals are not enrolled in multiple plans simultaneously and to streamline their coverage under one plan. This process helps avoid duplicative coverage and potential confusion for members.

For example, if a member is currently enrolled in an MA plan offered by Provider X and decides to enroll in a different MA plan offered by Provider Y during the Annual Enrollment Period (AEP), they will be automatically dis-enrolled from Provider X's plan.