Mrs. Berkowitz wants to enroll in a Medicare Advantage plan that does not include drug coverage and also enroll in a stand-alone Medicare prescription drug plan. Under what circumstances can she do this?

Answer: If the Medicare Advantage plan is a Private Fee-for-Service (PFFS) plan that does not offer drug coverage or a Medical Savings Account plan, Mrs. Berkowitz can do this

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Mrs. Berkowitz can enroll in a Medicare Advantage plan without drug coverage and also enroll in a stand-alone Medicare prescription drug plan during certain enrollment periods. The specific circumstances when she can do this are as initial entrollment period, annual enrollment period and special entrollment period.

Initial Enrollment Period (IEP): Mrs. Berkowitz can enroll in a Medicare Advantage plan and a stand-alone prescription drug plan during her Initial Enrollment Period, which is the seven-month period that begins three months before her 65th birthday month and ends three months after her birthday month.

Annual Enrollment Period (AEP): Mrs. Berkowitz can make changes to her Medicare coverage during the Annual Enrollment Period, which runs from October 15th to December 7th each year. During this period, she can switch from one Medicare Advantage plan to another or switch from a Medicare Advantage plan with drug coverage to one without drug coverage, and also enroll in a stand-alone prescription drug plan.

Special Enrollment Period (SEP): Mrs. Berkowitz may qualify for a Special Enrollment Period if she experiences certain life events, such as moving out of her current plan's service area, losing her current drug coverage, or being eligible for other types of assistance programs. During a Special Enrollment Period, she can make changes to her Medicare coverage, including enrolling in a Medicare Advantage plan without drug coverage and a stand-alone prescription drug plan.

Learn more about Medicare Advantage Plan, here:

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