What should Ms. Gibson understand about obtaining drug coverage with her new PPO plan?

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The correct understanding for Ms. Gibson regarding drug coverage with her new PPO plan is that she cannot purchase a stand-alone Medicare Part D plan. This is due to the fact that a Medicare Advantage plan, such as a PPO, frequently includes drug coverage as part of its benefits. When a beneficiary is enrolled in a Medicare Advantage plan that provides drug coverage, they are not permitted to buy a separate stand-alone Part D plan, as this could lead to duplicate coverage and potential complications with Medicare compliance.

Understanding this helps beneficiaries like Ms. Gibson navigate their options effectively. She should be well-aware that enrollment in a Medicare Advantage plan with included drug coverage implies that she will not have the flexibility to obtain a separate drug plan, thus making it essential for her to verify the extent of coverage offered by her PPO plan to ensure it meets her medication needs.

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