Which statement about plan features is not guaranteed and should be verified during enrollment?

Which statement about plan features is not guaranteed and should be verified during enrollment?

• A. The new plan network will include all current providers
• B. The medications on the formulary will remain the same
• C. The new plan may not offer all the same features as the current plan
• D. The costs will be the same

Answer: (C)

Not guaranteed: a new plan may not offer all the same features as your current plan. When you switch plans, the network of doctors, the drug formulary, and the mix of benefits and costs are defined by the new plan’s contract, which can be different from what you have now. Because of that, you should verify these details during enrollment by checking the plan’s Evidence of Coverage, confirming that your doctors are in-network, ensuring your medications are covered on the formulary and understanding the associated copays or coinsurance, and reviewing any changes in premiums, deductibles, and out-of-pocket costs. If you don’t verify, you could encounter higher costs or gaps in coverage.

Not guaranteed: a new plan may not offer all the same features as your current plan. When you switch plans, the network of doctors, the drug formulary, and the mix of benefits and costs are defined by the new plan’s contract, which can be different from what you have now. Because of that, you should verify these details during enrollment by checking the plan’s Evidence of Coverage, confirming that your doctors are in-network, ensuring your medications are covered on the formulary and understanding the associated copays or coinsurance, and reviewing any changes in premiums, deductibles, and out-of-pocket costs. If you don’t verify, you could encounter higher costs or gaps in coverage.