Anthem Medicare Advantage Certification Practice Exam

Session length

1 / 20

Which of the following is NOT a valid reason for involuntary disenrollment?

Moving to a new address in the same plan service area

Involuntary disenrollment refers to instances where a member is required to leave their Medicare Advantage plan due to certain specific circumstances. Moving to a new address within the same plan service area does not constitute a valid reason for involuntary disenrollment. Members can remain in their current plan as long as they are still within the service area, which means their coverage continues uninterrupted.

On the other hand, failure to pay premiums, engaging in fraudulent activities, and losing eligibility for benefits are all legitimate grounds for involuntary disenrollment. Each of these circumstances directly affects the member's standing within the plan and their rights to the covered services, leading to the necessity for disenrollment. Therefore, continuing to reside in an area covered by the same plan makes the first option incorrect as a reason for disenrollment.

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Failure to pay premiums

Fraudulent activities

Loss of eligibility for benefits

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