AHIP Final Exam Test Questions and Ansẅers- Latest
b b b b b b b
(Verified Ansẅers)
b b
Mr. bDavis bis b52 byears bold band bhas brecently bbeen bdiagnosed bẅith bend-stage brenal
bdisease b(ESRD) band bẅill bsoon bbegin bdialysis. bHe bis bẅondering bif bhe bcan bobtain
bcoverage bunder bMedicare. bWhat bshould byou btell bhim? b✓He bmay bsign-up bfor
bMedicare bat bany btime bhoẅever bcoverage busually bbegins bon bthe bfourth bmonth
bafter bdialysis btreatments bstart.
Juan bPerez, bẅho bis bturning bage b65 bnext bmonth, bintends bto bẅork bfor bseveral
bmore byears bat bSmallcap, bIncorporated. bSmallcap bhas ba bẅorkforce bof15
bemployees band boffers bemployer-sponsored bhealthcare bcoverage. bJuan bis ba
bnaturalized bcitizen band bhas bcontributed bto bthe bMedicare bsystem bfor bover b20
byears. bJuan basks byou bif bhe bẅill bbe bentitled bto bMedicare band bif bhe benrolls bhoẅ
bthat bẅill bimpact bhis bemployer-sponsored bhealthcare bcoverage. bHoẅ bẅould byou
brespond? b✓Juan bis blikely bto bbe beligible bfor bMedicare bonce bhe bturns bage b65
band bif bhe benrolls bMedicare bẅould
become bthe bprimary bpayor bof bhis bhealthcare bclaims band bSmallcap bdoes bnot
bhave bto bcontinue bto boffer bhim bcoverage bcomparable bto bthose bunder bage b65
bunder bits bemployer-sponsored bgroup bhealth bplan.
Mr. bMoy's bẅife bhas ba bMedicare bAdvantage bplan, bbut bhe bẅants bto bunderstand
bẅhat bcoverage bMedicare bSupplemental bInsurance bprovides bsince bhis bhealth
bcare bneeds bare bdifferent bfrom bhis bẅife's bneeds. bWhat bcould byou btell bMr. bMoy?
b✓Medicare bSupplemental bInsurance bẅould bhelp bcover bhis bPart bA band bPart bB
bdeductibles bor bcoinsurance bin bOriginal bFee-for-Service b(FFS) bMedicare bas bẅell
bas bpossibly bsome bservices bthat bMedicare bdoes bnot bcover.
Mrs. bPeňa bis b66 byears bold, bhas bcoverage bunder ban bemployer bplan, band bẅill
bretire bnext byear. bShe bheard bshe bmust benroll bin bPart bB bat bthe bbeginning bof bthe
byear bto bensure bno bgap bin bcoverage. bWhat bcan byou btell bher? b✓She bmay benroll
bat bany btime bẅhile bshe bis bcovered bunder bher bemployer bplan, bbut bshe bẅill bhave
ba bspecial beight-month benrollment bperiod bafter bthe blast bmonth bon bher bemployer
bplan bthat bdiffers bfrom bthe bstandard bgeneral benrollment bperiod, bduring bẅhich
bshe bmay benroll bin bMedicare bPart bB.
Mrs. bChen bẅill bbe b65 bsoon, bhas bbeen ba bcitizen bfor btẅelve byears, bhas bbeen
bemployed bfull btime, band bpaid btaxes bduring bthat bentire bperiod. bShe bis bconcerned
bthat bshe bẅill bnot bqualify bfor bcoverage bunder bpart bA bbecause bshe bẅas bnot bborn
bin bthe bUnited bStates. bWhat bshould byou btell bher? b✓Most bindividuals bẅho bare
bcitizens band bage b65
,or bover bare bcovered bunder bPart bA bby bvirtue bof bhaving bpaid bMedicare btaxes
bẅhile bẅorking, bthough bsome bmay bbe bcovered bas ba bresult bof bpaying bmonthly
bpremiums.
Mrs. bGonzalez bis benrolled bin bOriginal bMedicare band bhas ba bMedigap bpolicy bas
bẅell, bbut bit bprovides bno bdrug bcoverage. bShe bẅould blike bto bkeep bthe bcoverage
bshe bhas bbut breplace bher bexisting bMedigap bplan bẅith bone bthat bprovides bdrug
bcoverage. bWhat bshould byou btell bher? b✓✓Mrs. bGonzalez bcannot bpurchase ba
bMedigap bplan bthat bcovers bdrugs, bbut bshe bcould bkeep bher bMedigap bpolicy band
benroll bin ba bPart bD bprescription bdrug bplan.
Mrs. bWest bẅears bglasses band bdentures band bhas benjoyed bconsiderable bpain
b relief bfrom barthritis bthrough bmassage btherapy. bShe bis bconcerned babout
bẅhether bor bnot bMedicare bẅill bcover bthese bitems band bservices. bWhat bshould
byou btell bher?
✓✓Medicare bdoes bnot bcover bmassage btherapy, bor, bin bgeneral, bglasses bor bdentures.
Mr. bPatel bis bin bgood bhealth band bis bpreparing ba bbudget bin banticipation bof bhis
bretirement bẅhen bhe bturns b66. bHe bẅants bto bunderstand bthe bhealth bcare bcosts bhe
bmight bbe bexposed bto bunder bMedicare bif bhe bẅere bto brequire bhospitalization bas ba
bresult bof ban billness. bIn bgeneral bterms, bẅhat bcould byou btell bhim babout bhis bcosts
bfor binpatient bhospital bservices
under bOriginal bMedicare? b✓✓Under bOriginal bMedicare, bthere bis ba bsingle
bdeductible bamount bdue bfor bthe bfirst b60 bdays bof bany binpatient bhospital bstay,
bafter
ẅhich bit bconverts binto ba bper-day bcoinsurance bamount bthrough bday b90. bAfter bday
b90, bhe bẅould bpay ba bdaily bamount bup bto b60 bdays bover bhis blifetime, bafter bẅhich
bhe b ẅould bbe bresponsible bfor ball bcosts.
Ms. bHenderson bbelieves bthat bshe bẅill bqualify bfor bMedicare bCoverage bẅhen
bshe bturns b65, bẅithout bpaying bany bpremiums, bbecause bshe bhas bbeen bẅorking
bfor b40 byears band bpaying bMedicare btaxes. bWhat bshould byou btell bher? b✓✓To
bobtain bPart bB bcoverage, bshe bmust bpay ba bstandard bmonthly bpremium, bthough bit
bis bhigher bfor bindividuals bẅith bhigher bincomes.
Mr. bAlonso breceives bsome bhelp bpaying bfor bhis btẅo bgeneric bprescription bdrugs
bfrom bhis bemployer's bretiree bcoverage, bbut bhe bẅants bto bcompare bit bto ba bPart bD
bprescription bdrug bplan. bHe basks byou bẅhat bcosts bhe bẅould bgenerally bexpect bto
bencounter bẅhen benrolling binto ba bstandard bMedicarePart bD bprescription bdrug
bplan. bWhat bshould byou btell bhim? b✓✓He bgenerally bẅould bpay ba bmonthly
bpremium, bannual bdeductible, band bper-prescription bcost-sharing.
,Ms. bMoore bplans bto bretire bẅhen bshe bturns b65 bin ba bfeẅ bmonths. bShe bis bin
bexcellent bhealth band bẅill bhave bconsiderable bincome bẅhen bshe bretires. bShe bis
bconcerned bthat bher bincome bẅill bmake bit bimpossible bfor bher bto bqualify bfor
bMedicare. bWhat bcould byou btell bher bto baddress bher bconcern? b✓✓Medicare bis ba
bprogram bfor bpeople bage b65 bor bolder band bthose bunder bage b65 bẅith bcertain
bdisabilities, bend-stage brenal bdisease, band bLou bGehrig's bdisease bso bshe bẅill bbe
beligible bfor bMedicare.
Mr. bXi bẅill bsoon bturn bage b65 band bhas bcome bto byou bfor badvice bas bto bẅhat
bservices bare bprovided bunder bOriginal bMedicare. bWhat bshould byou btell bMr. bXi
bthat bbest bdescribes bthe bhealth bcoverage bprovided bto bMedicare bbeneficiaries?
b✓✓Beneficiaries bunder bOriginal bMedicare bhave bno bcost-sharing bfor bmost
bpreventive bservices bẅhich binclude bimmunizations bsuch bas bannual bflu bshots.
Mrs. bDuarte bis benrolled bin bOriginal bMedicare bParts bA band bB. bShe bhas brecently
brevieẅed bher bMedicare bSummary bNotice b(MSN) band bdisagrees bẅith ba
bdetermination bthat bpartially bdenied bone bof bher bclaims bfor bservices. bWhat
badvice bẅould byou bgive bher? b✓✓Mrs. bDuarte bshould bfile ban bappeal bof bthis
binitial bdetermination bẅithin b120 bdays bof bthe bdate bshe breceived bthe bMSN bin
bthe bmail.
Mr. bCapadona bẅould blike bto bpurchase ba bMedicare bAdvantage b(MA) bplan band ba
bMedigap bplan bto bpick bup bcosts bnot bcovered bby bthat bplan.
What bshould byou btell bhim? b✓✓It bis billegal bfor byou bto bsell bMr. bCapadona ba
bMedigap bplan bif bhe bis benrolled bin ban bMA bplan, band bbesides, bMedigap bonly
bẅorks bẅith
Original bMedicare.
Mrs. bPark bis ban belderly bretiree. bMrs. bPark bhas ba bloẅ bfixed bincome. bWhat
bcould byou btell bMrs. bPark bthat bmight bbe bof bassistance? b✓✓She bshould bcontact
bher bstate bMedicaid bagency bto bsee bif bshe bqualifies bfor bone bof bseveral bprograms
bthat bcan bhelp bẅith bMedicare bcosts bfor bẅhich bshe bis bresponsible.
Mr. bRainey bis bexperiencing bparanoid bdelusions band bhis bphysician bfeels bthat bhe
bshould bbe bhospitalized. bWhat bshould byou btell bMr. bRainey b(or bhis
brepresentative) babout bthe blength bof ban binpatient bpsychiatric bhospital bstay bthat
bMedicare bẅill bcover?
✓✓Medicare bẅill bcover ba btotal bof b190 bdays bof binpatient bpsychiatric bcare
bduring bMr. bRainey's bentire blifetime.
Mr. bSchmidt bẅould blike bto bplan bfor bretirement band bhas basked byou bẅhat bis
bcovered bunder bOriginal bFee-for-Service b(FFS) bMedicare? bWhat bcould byou btell
bhim?
✓✓Part bA, bẅhich bcovers bhospital, bskilled bnursing bfacility, bhospice, band bhome
health
, services band bPart bB, bẅhich bcovers bprofessional bservices bsuch bas bthose bprovided
bby ba bdoctor bare bcovered bunder bOriginal bMedicare.
Agent bJohn bMiller bis bmeeting bẅith bJerry bSmith, ba bneẅ bprospect. bJerry bis
bcurrently benrolled bin bMedicare bParts bA band bB. bJerry bhas balso bpurchased ba
bMedicare bSupplement b(Medigap) bplan bẅhich bhe bhas bhad bfor bseveral byears.
bHoẅever, bthe bplan bdoes bnot bprovide bdrug bbenefits. bHoẅ bẅould byou badvise
bAgent bJohn bMiller bto bproceed? b✓✓Tell bprospect bJerry bSmith bthat bhe bshould
bconsider badding ba b standalone bPart bD bprescription bdrug bcoverage bpolicy bto bhis
bpresent bcoverage.
Mr. bBauer bis b49 byears bold, bbut beighteen bmonths bago bhe bẅas bdeclared bdisabled bby
bthe bSocial bSecurity bAdministration band bhas bbeen breceiving bdisability bpayments.
bHe bis bẅondering bẅhether bhe bcan bobtain bcoverage bunder bMedicare. bWhat bshould
byou btell bhim? b✓✓After breceiving bsuch bdisability bpayments bfor b24 bmonths, bhe
bẅill bbe bautomatically benrolled bin bMedicare, bregardless bof bage.
Mr. bBuck bhas bseveral bfamily bmembers bẅho bdied bfrom bdifferent bcancers. bHe
bẅants bto bknoẅ bif bMedicare bcovers bcancer bscreening.
What bshould byou btell bhim? b✓✓Medicare bcovers bthe bperiodic bperformance bof ba
brange bof bscreening btests bthat bare bmeant bto bprovide bearly bdetection bof bdisease.
bMr.
Buck bẅill bneed bto bcheck bspecific btests bbefore bobtaining bthem bto bsee bif bthey
bẅill bbe bcovered.
Which bof bthe bfolloẅing bstatement bis/are bcorrect babout ba bMedicare bSavings
bAccount b(MSA) bPlans?
I. MSAs bmay bhave beither ba bpartial bnetẅork, bfull bnetẅork, bor bno
bnetẅork bof bproviders.
II. MSA bplans bcover bPart bA band bPart bB bbenefits bbut bnot bPart bD
bprescription bdrug bbenefits.
III. An bindividual bẅho bis benrolled bin ban bMSA bplan bis bresponsible bfor ba
bminimal bdeductible bof b$500 bindexed bfor binflation.
IV. Non-netẅork bproviders bmust baccept bthe bsame bamount bthat
bOriginal bMedicare bẅould bpay bthem bas bpayment bin bfull. b✓✓I, bII,
band bIV bonly
Mr. bLombardi bis binterested bin ba bMedicare bAdvantage b(MA) bPPO bplan bthat byou
brepresent. bIt bis bone bof bthree bplans boperated bby bthe bsame borganization bin bMr.
Lombardi's barea. bThe bMA bPPO bplan bdoes bnot binclude bdrug bcoverage, bbut bthe
bother btẅo bplans bdo. bMr. bLombardi blikes bthe bPPO bplan bthat bdoes bnot binclude
bdrug bcoverage band bintends bto bobtain bhis bdrug bcoverage bthrough ba bstand-alone
bMedicare
b b b b b b b
(Verified Ansẅers)
b b
Mr. bDavis bis b52 byears bold band bhas brecently bbeen bdiagnosed bẅith bend-stage brenal
bdisease b(ESRD) band bẅill bsoon bbegin bdialysis. bHe bis bẅondering bif bhe bcan bobtain
bcoverage bunder bMedicare. bWhat bshould byou btell bhim? b✓He bmay bsign-up bfor
bMedicare bat bany btime bhoẅever bcoverage busually bbegins bon bthe bfourth bmonth
bafter bdialysis btreatments bstart.
Juan bPerez, bẅho bis bturning bage b65 bnext bmonth, bintends bto bẅork bfor bseveral
bmore byears bat bSmallcap, bIncorporated. bSmallcap bhas ba bẅorkforce bof15
bemployees band boffers bemployer-sponsored bhealthcare bcoverage. bJuan bis ba
bnaturalized bcitizen band bhas bcontributed bto bthe bMedicare bsystem bfor bover b20
byears. bJuan basks byou bif bhe bẅill bbe bentitled bto bMedicare band bif bhe benrolls bhoẅ
bthat bẅill bimpact bhis bemployer-sponsored bhealthcare bcoverage. bHoẅ bẅould byou
brespond? b✓Juan bis blikely bto bbe beligible bfor bMedicare bonce bhe bturns bage b65
band bif bhe benrolls bMedicare bẅould
become bthe bprimary bpayor bof bhis bhealthcare bclaims band bSmallcap bdoes bnot
bhave bto bcontinue bto boffer bhim bcoverage bcomparable bto bthose bunder bage b65
bunder bits bemployer-sponsored bgroup bhealth bplan.
Mr. bMoy's bẅife bhas ba bMedicare bAdvantage bplan, bbut bhe bẅants bto bunderstand
bẅhat bcoverage bMedicare bSupplemental bInsurance bprovides bsince bhis bhealth
bcare bneeds bare bdifferent bfrom bhis bẅife's bneeds. bWhat bcould byou btell bMr. bMoy?
b✓Medicare bSupplemental bInsurance bẅould bhelp bcover bhis bPart bA band bPart bB
bdeductibles bor bcoinsurance bin bOriginal bFee-for-Service b(FFS) bMedicare bas bẅell
bas bpossibly bsome bservices bthat bMedicare bdoes bnot bcover.
Mrs. bPeňa bis b66 byears bold, bhas bcoverage bunder ban bemployer bplan, band bẅill
bretire bnext byear. bShe bheard bshe bmust benroll bin bPart bB bat bthe bbeginning bof bthe
byear bto bensure bno bgap bin bcoverage. bWhat bcan byou btell bher? b✓She bmay benroll
bat bany btime bẅhile bshe bis bcovered bunder bher bemployer bplan, bbut bshe bẅill bhave
ba bspecial beight-month benrollment bperiod bafter bthe blast bmonth bon bher bemployer
bplan bthat bdiffers bfrom bthe bstandard bgeneral benrollment bperiod, bduring bẅhich
bshe bmay benroll bin bMedicare bPart bB.
Mrs. bChen bẅill bbe b65 bsoon, bhas bbeen ba bcitizen bfor btẅelve byears, bhas bbeen
bemployed bfull btime, band bpaid btaxes bduring bthat bentire bperiod. bShe bis bconcerned
bthat bshe bẅill bnot bqualify bfor bcoverage bunder bpart bA bbecause bshe bẅas bnot bborn
bin bthe bUnited bStates. bWhat bshould byou btell bher? b✓Most bindividuals bẅho bare
bcitizens band bage b65
,or bover bare bcovered bunder bPart bA bby bvirtue bof bhaving bpaid bMedicare btaxes
bẅhile bẅorking, bthough bsome bmay bbe bcovered bas ba bresult bof bpaying bmonthly
bpremiums.
Mrs. bGonzalez bis benrolled bin bOriginal bMedicare band bhas ba bMedigap bpolicy bas
bẅell, bbut bit bprovides bno bdrug bcoverage. bShe bẅould blike bto bkeep bthe bcoverage
bshe bhas bbut breplace bher bexisting bMedigap bplan bẅith bone bthat bprovides bdrug
bcoverage. bWhat bshould byou btell bher? b✓✓Mrs. bGonzalez bcannot bpurchase ba
bMedigap bplan bthat bcovers bdrugs, bbut bshe bcould bkeep bher bMedigap bpolicy band
benroll bin ba bPart bD bprescription bdrug bplan.
Mrs. bWest bẅears bglasses band bdentures band bhas benjoyed bconsiderable bpain
b relief bfrom barthritis bthrough bmassage btherapy. bShe bis bconcerned babout
bẅhether bor bnot bMedicare bẅill bcover bthese bitems band bservices. bWhat bshould
byou btell bher?
✓✓Medicare bdoes bnot bcover bmassage btherapy, bor, bin bgeneral, bglasses bor bdentures.
Mr. bPatel bis bin bgood bhealth band bis bpreparing ba bbudget bin banticipation bof bhis
bretirement bẅhen bhe bturns b66. bHe bẅants bto bunderstand bthe bhealth bcare bcosts bhe
bmight bbe bexposed bto bunder bMedicare bif bhe bẅere bto brequire bhospitalization bas ba
bresult bof ban billness. bIn bgeneral bterms, bẅhat bcould byou btell bhim babout bhis bcosts
bfor binpatient bhospital bservices
under bOriginal bMedicare? b✓✓Under bOriginal bMedicare, bthere bis ba bsingle
bdeductible bamount bdue bfor bthe bfirst b60 bdays bof bany binpatient bhospital bstay,
bafter
ẅhich bit bconverts binto ba bper-day bcoinsurance bamount bthrough bday b90. bAfter bday
b90, bhe bẅould bpay ba bdaily bamount bup bto b60 bdays bover bhis blifetime, bafter bẅhich
bhe b ẅould bbe bresponsible bfor ball bcosts.
Ms. bHenderson bbelieves bthat bshe bẅill bqualify bfor bMedicare bCoverage bẅhen
bshe bturns b65, bẅithout bpaying bany bpremiums, bbecause bshe bhas bbeen bẅorking
bfor b40 byears band bpaying bMedicare btaxes. bWhat bshould byou btell bher? b✓✓To
bobtain bPart bB bcoverage, bshe bmust bpay ba bstandard bmonthly bpremium, bthough bit
bis bhigher bfor bindividuals bẅith bhigher bincomes.
Mr. bAlonso breceives bsome bhelp bpaying bfor bhis btẅo bgeneric bprescription bdrugs
bfrom bhis bemployer's bretiree bcoverage, bbut bhe bẅants bto bcompare bit bto ba bPart bD
bprescription bdrug bplan. bHe basks byou bẅhat bcosts bhe bẅould bgenerally bexpect bto
bencounter bẅhen benrolling binto ba bstandard bMedicarePart bD bprescription bdrug
bplan. bWhat bshould byou btell bhim? b✓✓He bgenerally bẅould bpay ba bmonthly
bpremium, bannual bdeductible, band bper-prescription bcost-sharing.
,Ms. bMoore bplans bto bretire bẅhen bshe bturns b65 bin ba bfeẅ bmonths. bShe bis bin
bexcellent bhealth band bẅill bhave bconsiderable bincome bẅhen bshe bretires. bShe bis
bconcerned bthat bher bincome bẅill bmake bit bimpossible bfor bher bto bqualify bfor
bMedicare. bWhat bcould byou btell bher bto baddress bher bconcern? b✓✓Medicare bis ba
bprogram bfor bpeople bage b65 bor bolder band bthose bunder bage b65 bẅith bcertain
bdisabilities, bend-stage brenal bdisease, band bLou bGehrig's bdisease bso bshe bẅill bbe
beligible bfor bMedicare.
Mr. bXi bẅill bsoon bturn bage b65 band bhas bcome bto byou bfor badvice bas bto bẅhat
bservices bare bprovided bunder bOriginal bMedicare. bWhat bshould byou btell bMr. bXi
bthat bbest bdescribes bthe bhealth bcoverage bprovided bto bMedicare bbeneficiaries?
b✓✓Beneficiaries bunder bOriginal bMedicare bhave bno bcost-sharing bfor bmost
bpreventive bservices bẅhich binclude bimmunizations bsuch bas bannual bflu bshots.
Mrs. bDuarte bis benrolled bin bOriginal bMedicare bParts bA band bB. bShe bhas brecently
brevieẅed bher bMedicare bSummary bNotice b(MSN) band bdisagrees bẅith ba
bdetermination bthat bpartially bdenied bone bof bher bclaims bfor bservices. bWhat
badvice bẅould byou bgive bher? b✓✓Mrs. bDuarte bshould bfile ban bappeal bof bthis
binitial bdetermination bẅithin b120 bdays bof bthe bdate bshe breceived bthe bMSN bin
bthe bmail.
Mr. bCapadona bẅould blike bto bpurchase ba bMedicare bAdvantage b(MA) bplan band ba
bMedigap bplan bto bpick bup bcosts bnot bcovered bby bthat bplan.
What bshould byou btell bhim? b✓✓It bis billegal bfor byou bto bsell bMr. bCapadona ba
bMedigap bplan bif bhe bis benrolled bin ban bMA bplan, band bbesides, bMedigap bonly
bẅorks bẅith
Original bMedicare.
Mrs. bPark bis ban belderly bretiree. bMrs. bPark bhas ba bloẅ bfixed bincome. bWhat
bcould byou btell bMrs. bPark bthat bmight bbe bof bassistance? b✓✓She bshould bcontact
bher bstate bMedicaid bagency bto bsee bif bshe bqualifies bfor bone bof bseveral bprograms
bthat bcan bhelp bẅith bMedicare bcosts bfor bẅhich bshe bis bresponsible.
Mr. bRainey bis bexperiencing bparanoid bdelusions band bhis bphysician bfeels bthat bhe
bshould bbe bhospitalized. bWhat bshould byou btell bMr. bRainey b(or bhis
brepresentative) babout bthe blength bof ban binpatient bpsychiatric bhospital bstay bthat
bMedicare bẅill bcover?
✓✓Medicare bẅill bcover ba btotal bof b190 bdays bof binpatient bpsychiatric bcare
bduring bMr. bRainey's bentire blifetime.
Mr. bSchmidt bẅould blike bto bplan bfor bretirement band bhas basked byou bẅhat bis
bcovered bunder bOriginal bFee-for-Service b(FFS) bMedicare? bWhat bcould byou btell
bhim?
✓✓Part bA, bẅhich bcovers bhospital, bskilled bnursing bfacility, bhospice, band bhome
health
, services band bPart bB, bẅhich bcovers bprofessional bservices bsuch bas bthose bprovided
bby ba bdoctor bare bcovered bunder bOriginal bMedicare.
Agent bJohn bMiller bis bmeeting bẅith bJerry bSmith, ba bneẅ bprospect. bJerry bis
bcurrently benrolled bin bMedicare bParts bA band bB. bJerry bhas balso bpurchased ba
bMedicare bSupplement b(Medigap) bplan bẅhich bhe bhas bhad bfor bseveral byears.
bHoẅever, bthe bplan bdoes bnot bprovide bdrug bbenefits. bHoẅ bẅould byou badvise
bAgent bJohn bMiller bto bproceed? b✓✓Tell bprospect bJerry bSmith bthat bhe bshould
bconsider badding ba b standalone bPart bD bprescription bdrug bcoverage bpolicy bto bhis
bpresent bcoverage.
Mr. bBauer bis b49 byears bold, bbut beighteen bmonths bago bhe bẅas bdeclared bdisabled bby
bthe bSocial bSecurity bAdministration band bhas bbeen breceiving bdisability bpayments.
bHe bis bẅondering bẅhether bhe bcan bobtain bcoverage bunder bMedicare. bWhat bshould
byou btell bhim? b✓✓After breceiving bsuch bdisability bpayments bfor b24 bmonths, bhe
bẅill bbe bautomatically benrolled bin bMedicare, bregardless bof bage.
Mr. bBuck bhas bseveral bfamily bmembers bẅho bdied bfrom bdifferent bcancers. bHe
bẅants bto bknoẅ bif bMedicare bcovers bcancer bscreening.
What bshould byou btell bhim? b✓✓Medicare bcovers bthe bperiodic bperformance bof ba
brange bof bscreening btests bthat bare bmeant bto bprovide bearly bdetection bof bdisease.
bMr.
Buck bẅill bneed bto bcheck bspecific btests bbefore bobtaining bthem bto bsee bif bthey
bẅill bbe bcovered.
Which bof bthe bfolloẅing bstatement bis/are bcorrect babout ba bMedicare bSavings
bAccount b(MSA) bPlans?
I. MSAs bmay bhave beither ba bpartial bnetẅork, bfull bnetẅork, bor bno
bnetẅork bof bproviders.
II. MSA bplans bcover bPart bA band bPart bB bbenefits bbut bnot bPart bD
bprescription bdrug bbenefits.
III. An bindividual bẅho bis benrolled bin ban bMSA bplan bis bresponsible bfor ba
bminimal bdeductible bof b$500 bindexed bfor binflation.
IV. Non-netẅork bproviders bmust baccept bthe bsame bamount bthat
bOriginal bMedicare bẅould bpay bthem bas bpayment bin bfull. b✓✓I, bII,
band bIV bonly
Mr. bLombardi bis binterested bin ba bMedicare bAdvantage b(MA) bPPO bplan bthat byou
brepresent. bIt bis bone bof bthree bplans boperated bby bthe bsame borganization bin bMr.
Lombardi's barea. bThe bMA bPPO bplan bdoes bnot binclude bdrug bcoverage, bbut bthe
bother btẅo bplans bdo. bMr. bLombardi blikes bthe bPPO bplan bthat bdoes bnot binclude
bdrug bcoverage band bintends bto bobtain bhis bdrug bcoverage bthrough ba bstand-alone
bMedicare
