Final answer:
MA-only PFFS plans allow members to enroll in a stand-alone Medicare Part D Prescription Drug Plan if the MA plan does not include drug coverage. This exception helps ensure that individuals have the necessary coverage for their prescription medications, which is a crucial consideration for healthcare coverage.
Step-by-step explanation:
An exception exists for Medicare Advantage-only (MA-only) Private Fee-for-Service (PFFS) plans in which a member is allowed to be simultaneously enrolled in a stand-alone Medicare Part D Prescription Drug Plan (PDP). This is unique because MA plans usually include prescription drug coverage and typically do not allow members to be enrolled in a separate Part D plan. However, if the MA-only PFFS plan does not offer drug coverage, members have the option to enroll in a stand-alone PDP in order to receive their prescription drug benefits.
It's important for individuals who are considering enrolling in an MA-only PFFS plan without built-in prescription coverage to understand they should obtain a Part D plan to ensure they have coverage for their medications. This helps in avoiding any potential gaps in their healthcare coverage. This flexibility in enrollment is crucial to understand when making informed decisions about healthcare coverage in relation to MA plans and prescription drug needs.