When a customer becomes eligible for Medicare, what happens to their Pennie policy?

Prepare for the PY 2025 Pennie Individual Marketplace Training with engaging multiple choice questions and detailed explanations. Equip yourself with the knowledge needed to excel on your first attempt!

When a customer becomes eligible for Medicare, their Pennie policy is terminated a day before their Medicare coverage begins. This is important because Medicare serves as a primary source of coverage for those who qualify, and therefore, private health insurance like that offered through Pennie is no longer necessary.

Customers need to be aware of the timing, as it ensures there is no overlap in coverage, which could lead to confusion or unnecessary costs. Coordination of benefits is also crucial for managing health care expenses effectively, as individuals transitioning to Medicare should know what to expect regarding their coverage changes.

The other options do not align with the established protocols. For instance, the idea that the policy stays active for a month does not reflect the immediate transition to Medicare. An automatic conversion implies a continuity that does not exist, as two distinct coverages cannot overlap. Lastly, the option about only changing if requested overlooks the mandatory nature of the transition when a member becomes eligible for Medicare.

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