Mr. Sinclair has diabetes and heart trouble and is generally satisfied with the care he
has received under Original Medicare, but he would like to know more about
Medicare Advantage Special Needs Plans (SNPs). What could you tell him?
Give this one a try later!
SNPs have special programs for enrollees with chronic conditions, like Mr.
Sinclair, and they provide prescription drug coverage that could be very
helpful as well.
Mr. Romero is 64, retiring soon, and considering enrollment in his employer-
sponsored retiree group health plan that includes drug coverage with nominal
copays. He heard about a neighbor's MA-PD plan that you represent and because he
takes numerous prescription drugs, he is considering signing up for it. What should
you tell him?
Give this one a try later!
, An individual cannot be covered under two different Medicare Advantage
plans, so he would have to decide whether to enroll in the employer plan
or his neighbor's MA-PD. Also, MA-PD plans do not serve as supplemental
coverage for another Medicare Advantage plan.
Dr. Elizabeth Brennan does not contract with the ABC PFFS plan but accepts the
plan's terms and conditions for payment. Mary Rodgers sees Dr. Brennan for
treatment. How much may Dr. Brennan charge?
Give this one a try later!
Dr. Brennan can charge Mary Rogers no more than the cost sharing
specified in the PFFS plan's terms and condition of payment which may
include balance billing up to 15%of the Medicare rate.
Mrs. Wang wants to know generally how the benefits under Original Medicare might
compare to the benefits package of a Medicare Advantage Plan before she starts
looking at specific plans. What could you tell her?
Give this one a try later!
Medicare Advantage Plans may offer extra benefits that Original Medicare
does not offer such as vision, hearing, and dental services. It must include a
maximum out-of-pocket limit on Part A and Part B services.
Mr. Barker enjoys a comfortable retirement income. He recently had surgery and
expected that he would have certain services and items covered by the plan with
minimal out-of-pocket costs because his MA-PD coverage has been very good.
However, when he received the bill, he was surprised to see large charges in excess
of his maximum out-of-pocket limit that included some services and items he thought
has received under Original Medicare, but he would like to know more about
Medicare Advantage Special Needs Plans (SNPs). What could you tell him?
Give this one a try later!
SNPs have special programs for enrollees with chronic conditions, like Mr.
Sinclair, and they provide prescription drug coverage that could be very
helpful as well.
Mr. Romero is 64, retiring soon, and considering enrollment in his employer-
sponsored retiree group health plan that includes drug coverage with nominal
copays. He heard about a neighbor's MA-PD plan that you represent and because he
takes numerous prescription drugs, he is considering signing up for it. What should
you tell him?
Give this one a try later!
, An individual cannot be covered under two different Medicare Advantage
plans, so he would have to decide whether to enroll in the employer plan
or his neighbor's MA-PD. Also, MA-PD plans do not serve as supplemental
coverage for another Medicare Advantage plan.
Dr. Elizabeth Brennan does not contract with the ABC PFFS plan but accepts the
plan's terms and conditions for payment. Mary Rodgers sees Dr. Brennan for
treatment. How much may Dr. Brennan charge?
Give this one a try later!
Dr. Brennan can charge Mary Rogers no more than the cost sharing
specified in the PFFS plan's terms and condition of payment which may
include balance billing up to 15%of the Medicare rate.
Mrs. Wang wants to know generally how the benefits under Original Medicare might
compare to the benefits package of a Medicare Advantage Plan before she starts
looking at specific plans. What could you tell her?
Give this one a try later!
Medicare Advantage Plans may offer extra benefits that Original Medicare
does not offer such as vision, hearing, and dental services. It must include a
maximum out-of-pocket limit on Part A and Part B services.
Mr. Barker enjoys a comfortable retirement income. He recently had surgery and
expected that he would have certain services and items covered by the plan with
minimal out-of-pocket costs because his MA-PD coverage has been very good.
However, when he received the bill, he was surprised to see large charges in excess
of his maximum out-of-pocket limit that included some services and items he thought
