Question

when a member enrolls in a different MA plan offered by the same MA organization, his/her year to date contribution toward the annual OOP maximum plan is what?

Answer 1

When a member enrolls in a different MA plan offered by the same MA organization, their year to date contribution towards the annual out-of-pocket maximum plan starts over.

Step-by-step explanation:

When a member enrolls in a different MA plan offered by the same MA organization, their year to date contribution towards the annual out-of-pocket maximum plan starts over. This means that the member's previous contributions towards the out-of-pocket maximum are not carried over to the new plan.

For example, let's say a member has already contributed $500 towards their out-of-pocket maximum in their old MA plan. If they switch to a new MA plan offered by the same organization, their year to date contribution towards the out-of-pocket maximum in the new plan would be $0.

In summary, the year to date contribution towards the annual out-of-pocket maximum plan starts over when a member enrolls in a different MA plan offered by the same MA organization.

Learn more about MA plan enrollment here: