What must members do to stay enrolled in a Medicare Advantage Plan?

Staying enrolled in a Medicare Advantage Plan requires members to maintain the eligibility requirements set by Medicare. These eligibility requirements typically include being enrolled in Medicare Part A and Part B, living within the plan's service area, and generally adhering to guidelines regarding age and disability status.

Medicare Advantage Plans (also known as Medicare Part C) are provided by private insurance companies approved by Medicare, and they replace Original Medicare coverage. Therefore, members must consistently meet the criteria established by Medicare to ensure continued enrollment. If a member no longer meets these eligibility requirements, they may lose their coverage.

The other options presented do not reflect the fundamental criteria for maintaining enrollment in these plans. For instance, consistently paying higher premiums is not a prerequisite for enrollment but rather relates to the specific plan chosen. Having a Medicare Supplement Plan is not a barrier for Medicare Advantage enrollment; in fact, members typically cannot hold both simultaneously as they serve different purposes. Lastly, residing in a state with a specific Medicare Advantage Plan relates to location requirements but does not embody the broader eligibility criteria needed for continuous coverage.