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If a member is switching from one MA plan to another, does the member have to be apart of the same carrier to retain his/her MOOP expenses?

User Wolfspirit
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Final answer:

When switching from one MA plan to another, the member does not have to be apart of the same carrier to retain his/her MOOP expenses. Each MA plan sets its own MOOP limit, and this limit remains the same regardless of which carrier the member chooses. MOOP expenses will be retained as long as the member continues to stay within the same plan's network and follows its guidelines.

Step-by-step explanation:

When switching from one Medicare Advantage (MA) plan to another, the member does not have to be a part of the same carrier to retain his/her Maximum Out-of-Pocket (MOOP) expenses.

MOOP refers to the maximum amount that a member would need to pay out-of-pocket for covered services in a given year.

Each MA plan sets its own MOOP limit, and this limit remains the same regardless of which carrier the member chooses. So, if a member switches MA plans, their MOOP expenses will be retained as long as they continue to stay within the same plan's network and follow its guidelines.

For example, if a member's current plan has a MOOP limit of $3,000, and they switch to another plan with a different carrier but the same MOOP limit, their MOOP expenses will be retained.

User Peter S Magnusson
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