What will happen if a consumer with original Medicare enrolls in an MA plan with integrated prescription drug coverage?

When a consumer with Original Medicare enrolls in a Medicare Advantage (MA) plan that includes integrated prescription drug coverage, they will automatically be disenrolled from their standalone Prescription Drug Plan (PDP). This occurs because Medicare Advantage plans that offer prescription drug coverage are designed to provide all Medicare benefits—including drug coverage—within a single plan. Therefore, maintaining a separate standalone PDP becomes redundant, leading to the automatic disenrollment from that plan.

Automatic disenrollment helps ensure that individuals are aligned with their new coverage structure, streamlining their benefits and avoiding any potential confusion regarding coverage options. It is important for beneficiaries to be aware of this transition so they can fully understand their new coverage and avoid gaps in their healthcare or prescription drug coverage.