and Correct Answers 2025
Mrs. ,Radford ,asks ,whether ,there ,are ,any ,special ,eligibility ,requirements ,for ,Medicare
,Advantage. ,What ,should ,you ,tell ,her? ,- ,CORRECT ,ANSWER-Mrs. ,Radford ,must ,be
,entitled ,to ,Part ,A ,and ,enrolled ,in ,Part ,B ,to ,enroll ,in ,Medicare ,Advantage.
Which ,of ,the ,following ,statement(s) ,is/are ,correct ,about ,a ,Medicare ,Savings ,Account
,(MSA) ,Plans?
,I. ,MSAs ,may ,have ,either ,a ,partial ,network, ,full ,network, ,or ,no ,network ,of ,providers.
,II. ,MSA ,plans ,cover ,Part ,A ,and ,Part ,B ,benefits ,but ,not ,Part ,D ,prescription ,drug
,benefits.
,III. ,An ,individual ,who ,is ,enrolled ,in ,an ,MSA ,plan ,is ,responsible ,for ,a ,minimal
,deductible ,of ,$500 ,indexed ,for ,inflation.
,IV. ,Non-network ,providers ,must ,accept ,the ,same ,amount ,that ,Original ,Medicare
,would ,pay ,them ,as ,payment ,in ,full.
Question ,2Answer ,- ,CORRECT ,ANSWER-I, ,II, ,and ,IV ,only
Mrs. ,Burton ,is ,a ,retiree ,with ,substantial ,income. ,She ,is ,enrolled ,in ,an ,MA-PD ,plan
,and ,was ,disappointed ,with ,the ,service ,she ,received ,from ,her ,primary ,care ,physician
,because ,she ,was ,told ,she ,would ,have ,to ,wait ,five ,weeks ,to ,get ,an ,appointment
,when ,she ,was ,feeling ,ill. ,She ,called ,you ,to ,ask ,what ,she ,could ,do ,so ,she ,would ,not
,have ,to ,put ,up ,with ,such ,poor ,access ,to ,care. ,What ,could ,you ,tell ,her? ,- ,CORRECT
,ANSWER-She ,could ,file ,a ,grievance ,with ,her ,plan ,to ,complain ,about ,the ,lack ,of
,timeliness ,in ,getting ,an ,appointment.
Mr. ,Lombardi ,is ,interested ,in ,a ,Medicare ,Advantage ,(MA) ,PPO ,plan ,that ,you
,represent. ,It ,is ,one ,of ,three ,plans ,operated ,by ,the ,same ,organization ,in ,Mr.
,Lombardi's ,area. ,The ,MA ,PPO ,plan ,does ,not ,include ,drug ,coverage, ,but ,the ,other
,two ,plans ,do. ,Mr. ,Lombardi ,likes ,the ,PPO ,plan ,that ,does ,not ,include ,drug ,coverage
,and ,intends ,to ,obtain ,his ,drug ,coverage ,through ,a ,stand-alone ,Medicare ,prescription
,drug ,plan. ,What ,should ,you ,tell ,him ,about ,this ,situation? ,- ,CORRECT ,ANSWER-He
,could ,enroll ,either ,in ,one ,of ,the ,MA ,plans ,that ,include ,prescription ,drug ,coverage ,or
,Original ,Medicare ,with ,a ,Medigap ,plan ,and ,standalone ,Part ,D ,prescription ,drug