The outline of coverage for a Medicare Supplement policy must include which of the following?

• A. Description of policy benefits
• B. Advertising claims
• C. Premium payment schedule
• D. List of enrolled physicians

Answer: (A)

The main idea here is what the Outline of Coverage for a Medicare Supplement policy is meant to convey: exactly what benefits the policy provides and how those benefits are paid. This plain-language description helps someone compare plans and understand what they are buying, including what services are covered, how much the plan pays, any limits or exclusions, and how benefits coordinate with Original Medicare.

That’s why describing the policy benefits is the essential element that must be included. Advertising claims belong in marketing materials, not in the official outline. A premium payment schedule isn’t the focus of the outline itself, and a list of enrolled physicians isn’t needed for Medigap since these plans aren’t provider-network based.