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Agent Roderick enrolls retiree Mrs. Martinez in a medical savings account (MSA) Medicare health plan. The MSA plan does not offer prescription drug coverage, so Agent Roderick also enrolls Mrs. Martinez in a standalone prescription drug plan (PDP). What CMS compensation rules apply to this situation?

Respuesta :

Answer:  Dual Enrollment

Explanation:

The type of enrollment in which the patient is enrolled both in Medical Savings Account (MSA) as well as Prescription Drug Plan (PDP) is known as Dual enrollment. In this, the CMS rules of compensation are applied to the dual plans at one time and independently of each other.

The MMA gives outpatient, doctor prescribed medication inclusion to Medicare recipients through private back up plans. This inclusion is accessible through 2 essential settings: independent doctor Prescribed Drug Plans (PDPs) and incorporated oversaw care (or Medicare Advantage) designs that likewise give professionally Prescribed Drug inclusion (MA-PDs).

The CMS compensation rules apply to this situation is Dual enrollment.

What is Dual enrollment?

This is the type of enrollment in which the patient is enrolled both in Medical Savings Account (MSA) as well as Prescription Drug Plan (PDP).

They work independently and ensure  the individuals have adequate access to healthcare services.

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