What must you do before making a plan recommendation to a consumer already enrolled in a Medicare Advantage plan?

Before recommending a new plan to a consumer already enrolled in a Medicare Advantage plan, it is essential to compare the recommended plan with their current MA plan. This step ensures that the recommendation is in the best interest of the consumer, allowing you to evaluate and highlight the advantages and disadvantages of the new plan compared to their existing coverage.

This comparison can reveal critical differences in benefits, network coverage, costs (such as premiums, deductibles, and copayments), and any restrictions that may affect the consumer's access to care. By providing a thorough analysis, you empower the consumer to make an informed decision based on their specific healthcare needs, lifestyle, and financial situation.

Making a recommendation without understanding the current coverage would not only undermine the quality of care but also risks misguiding the consumer, potentially leading to gaps in coverage or increased out-of-pocket expenses. Therefore, the proper process involves a detailed understanding of the consumer's current plan before suggesting alternatives.