Question

Roger wants to know what counts toward the Out-of-Pocket Maximum on the Medicare Advantage Plan he is considering. Which statement is accurate?

a The Out-of-Pocket Maximum includes any costs paid toward the plan, such as plan premiums and health care expenses.
b All Out-of-Pocket costs paid toward health care and prescription drug expenses would count toward the Out-of- Pocket Maximum.
c The Out-of-Pocket Maximum includes any amount the member pays toward their prescription drug expenses as well as any benefits not covered by Original Medicare.
d The Out-of-Pocket Maximum includes costs the member pays for any Medicare-covered Part A or B services.

Answer 1

The Out-of-Pocket Maximum on the Medicare Advantage Plan counts any costs paid toward the plan, such as premiums and health care expenses.

Step-by-step explanation:

The accurate statement about what counts toward the Out-of-Pocket Maximum on the Medicare Advantage Plan is option a. The Out-of-Pocket Maximum includes any costs paid toward the plan, such as plan premiums and health care expenses. This means that Roger would need to consider both the premiums he pays for the plan as well as any out-of-pocket expenses he incurs for health care services when determining if he has reached his Out-of-Pocket Maximum.