What is the outcome for a client who moves out of his current Medicare plan's service area?

Study for the AHIP Training Test. Engage with flashcards and multiple-choice questions, each question comes with hints and explanations. Get ready for your exam!

When a client moves out of their current Medicare plan's service area, they are typically automatically disenrolled from that plan. This is because most Medicare plans, particularly Medicare Advantage plans, have specific geographical service areas where they provide coverage. If a member moves outside this designated area, they are no longer eligible to remain enrolled in that plan since it cannot provide services to them adequately outside the defined boundaries.

Consequently, disenrollment occurs automatically to ensure that plans only cover members in areas where they can deliver the promised benefits and services. It is important for clients to be aware of this policy so they can make timely decisions about obtaining new coverage that suits their new location. They will also have an opportunity to enroll in a new plan during a Special Enrollment Period, allowing them to obtain appropriate coverage based on their new residence.

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy