If a member moves from a Medicare Advantage plan with drug coverage to one without, what can they lose?

When a member transitions from a Medicare Advantage plan that includes drug coverage to one that does not provide this benefit, they will lose their prescription drug coverage. Medicare Advantage plans, also known as Medicare Part C, often bundle various types of coverage such as hospital services, outpatient care, and prescription drug benefits. If a member selects a plan without drug coverage, they forfeit access to the medications and pharmacy benefits that the previous plan provided.

Understanding this loss is crucial as it impacts the member's ability to obtain the necessary medications under their new plan. This can lead to increased out-of-pocket costs for prescriptions, possibly affecting their overall health management and financial well-being. It's important for members to consider their medication needs when selecting a new Medicare Advantage plan to ensure they do not experience gaps in necessary coverage.