What is a common consequence of failing to confirm changes to plan coverage each year?

The correct answer highlights the risk of inadequate coverage for necessary services as a consequence of not confirming changes to plan coverage each year. Medicare Advantage plans can adjust their coverage, benefits, premiums, and out-of-pocket costs annually. If a beneficiary does not take the initiative to review these changes, they may find that important services they relied on are no longer covered, or they may face increased cost-sharing for those services.

For example, if a specific medication or treatment becomes excluded from coverage in the new plan year, a member unaware of this change could face significant financial burdens or find themselves without access to critical care. Regularly reviewing plan documents, notifications, and communications helps beneficiaries remain informed and ensure that their healthcare needs are adequately met without unexpected lapses in coverage.

Understanding the implications of coverage changes is essential for beneficiaries to make informed decisions about their healthcare and choosing the right plan to meet their ongoing needs.