Which statement about Integrated plan enrollment is true?

• A. Must be a Full Dual-Eligible consumer who lives within the Integrated plan service area and is enrolling in an Integrated plan.
• B. Any Medicare beneficiary can enroll.
• C. Only those not dual-eligible can enroll.
• D. Enrollment is not allowed.

Answer: (A)

Integrated plan enrollment is limited to individuals who are full dual-eligible (enrolled in both Medicare and full Medicaid), who live in the plan’s service area, and who enroll in that Integrated plan. This ensures proper coordination of Medicare and Medicaid benefits within the area the plan serves. Other Medicare beneficiaries who are not full dual-eligible do not qualify for this Integrated plan, and options suggesting universal eligibility or no enrollment are not correct.