Questions And Answers (A+)
Mrs. West wears glasses and dentures and has enjoyed
considerable pain relief from arthritis through
acupuncture. She is concerned about whether or not
Medicare will cover these items and services. What
should you tell her? - √Answer :Medicare does not cover
acupuncture, or, in general, glasses or dentures.
Quiz :Mr. Bickford did not quite qualify for the extra help
low-income subsidy under the Medicare Part D
Prescription Drug program and he is wondering if there
is any other option he has for obtaining help with his
considerable drug costs. What should you tell him? -
√Answer :He could check with the manufacturers of his
medications to see if they offer an assistance program
to help people with limited means obtain the
medications they need. Alternatively, he could check to
see whether his state has a pharmacy assistance
program to help him with his expenses.
Quiz :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? - √Answer :He
could enroll in one of the MA plans that include
prescription drug coverage or a Medigap plan and a
, stand-alone prescription drug plan, but he cannot enroll
in the MA-only PPO plan and a stand-alone prescription
drug plan.
Quiz :Mr. Torres has a small savings account. He would
like to pay for his monthly Part D premiums with an
automatic monthly withdrawal from his savings account
until it is exhausted, and then have his premiums
withheld from his Social Security check. What should
you tell him? - √Answer :In general, he must select a
single Part D premium payment mechanism that will be
used throughout the year.
Quiz :Agent Jennings makes a presentation on
Medicare advertised as an educational event. Agent
Jennings distributes materials that are solely
educational in nature. However, she gives a brief
presentation that mentions plan-specific premiums. Is
this a prohibited activity at an event that has been
advertised as educational? - √Answer :Yes. When an
event has been advertised as "educational," discussing
plan-specific premiums is impermissible.
Quiz :Mrs. Mulcahy is concerned that she may not
qualify for enrollment in a Medicare prescription drug
plan because, although she is entitled to Part A, she is
not enrolled under Medicare Part B. What should you
tell her? - √Answer :Everyone who is entitled to Part A
or enrolled under Part B is eligible to enroll in a
Medicare prescription drug plan. As long as Mrs.
Mulcahy is entitled to Part A, she does not need to
enroll under Part B before enrolling in a prescription
drug plan.