What statement is true about a member of a Medicare Advantage Plan who wants to enroll in a Medicare Supplement Insurance Plan?

For a member of a Medicare Advantage Plan wishing to enroll in a Medicare Supplement Insurance Plan, it is essential to understand that they generally must first disenroll from their Medicare Advantage Plan. Medicare Supplement Insurance, also known as Medigap, is designed to work with Original Medicare (Parts A and B) and cannot be used in conjunction with a Medicare Advantage Plan, which is an alternative way to receive Medicare benefits.

Disenrolling from a Medicare Advantage Plan allows the member to return to Original Medicare, at which point they could apply for a Medigap policy. It is important to note that certain conditions, such as guaranteed issue rights and timeframes for enrollment, may apply when transitioning to Original Medicare and subsequently applying for Medigap coverage. The process of disenrollment ensures that the individual is eligible for the benefits that Medigap provides, as these can help cover costs that Original Medicare does not.

Understanding this transition helps members make informed decisions about their healthcare coverage and financial responsibilities while navigating their options in Medicare.