; (3) be adjusted to reflect the costs of treating eligible Medicare beneficiaries under this section; and (4) not be made for a test via a telecommunications system described in subsection (a)(4), unless the physician or practitioner determines such a test is medically necessary and appropriate (as determined by the Secretary). (e) Special election period Notwithstanding sections 1852(e)(2)(C) and 1860D–1(b)(1)(B)(iii), an eligible Medicare beneficiary may, other than during the annual, coordinated election periods under such sections discontinue enrollment in an MA plan not participating in the VBID demonstration program and enroll in an MA plan participating in such program. (f) Beneficiary education The Secretary shall help to educate, through State Health Insurance Assistance Programs and other organizations that assist seniors with respect to benefits and enrollment under this title, eligible Medicare beneficiaries on the availability of the VBID demonstration program. (g) Implementation (1) Deadline The VBID demonstration program shall be implemented not later than January 1 of the second year beginning after the date of the enactment of this section. (2) Duration Subject to paragraph (3), the VBID demonstration program shall be conducted for a period of five years. (3) Extension or expansion Taking into account the report under subsection (h)(2), the Secretary may, through notice and comment rulemaking, expand the duration, scope, or both the duration and scope of the VBID demonstration program (including implementation on a nationwide or permanent basis or both), other than under the original Medicare fee-for-service program under parts A and B of such title, to the extent determined appropriate by the Secretary, unless the Secretary determines that such expansion is expected to— (A) increase aggregate expenditures under this title and title XIX with respect to eligible Medicare beneficiaries participating in the VBID demonstration program