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Mr. Wilcox has been enrolled in Lexington Private Fee-for-Service (PFFS) Medicare Advantage Health Plan (Lexington) for several years. Recently, Mr. Wilcox decided to spend time with his children who live in another state that is not in Lexington’s service area. In the future, he may relocate near his children permanently. How does this move to another service area impact his PFFS MA coverage?

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The correct option is A. Whether or not Mr Wilcox is enrolled in a visitor/traveller (V/T) program, Lexington may permit his continuous attendance for up to 12 months.

  • The first Medicare plans are very comparable to private - fee - for - similar programs.
  • This is offered by a personal health insurance provider.
  • In the case at hand, Mr Wilcox intends to move close to his children, who reside in another state.
  • He will merely not be disabled to receive PFFS benefits because he is moving to another service region.
  • Even if he decides not to travel to the present service area in the following 12 months, the insurance provider can still cover him for another 12 months.

Learn more about PFFS Medicare Advantage Health Plan:

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Medicare Advantage Health Plan (Lexington) for several years. Recently, Mr. Wilcox decided to spend time with his children who live in another state that is not in Lexington's service area. In the future, he may relocate near his children permanently. How does this move to another service area impact his PFFS MA coverage?

Choose one answer.

a. Lexington can allow for Mr. Wilcox’s continued enrollment for up to 12 months whether or not he is in a visitor/traveler (V/T) program.

b. Lexington must disenroll Mr. Wilcox after 12 weeks unless he can provide proof that he is simply visiting on a temporary basis.

c. Lexington can offer an extended visitor/traveler (V/T) benefit to Mr. Wilcox for up to 15 months.

d. Lexington must disenroll Mr. Wilcox after 6 months unless he can provide proof that he is simply visiting on a temporary basis.

Answer:

Lexington can allow for Mr. Wilcox’s continued enrollment for up to 12 months whether or not he is in a visitor/traveler (V/T) program since it is a PFFS plan.

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