AHIP 2026 -
fv fv
fv Medicare Fraud, Waste, & Abuse Final Exam
fv fv fv fv fv fv
AHIP FINAL EXAM TEST QUESTIONS AND
ANSWERS
Mrs.fvWestfvwearsfvglassesfvandfvdenturesfvandfvhasfvenjoyedfvconsiderablefvpainfvrelieffvfromfvarthritisfvthroughfvacup
uncture.fvShefvisfvconcernedfvaboutfvwhetherfvorfvnotfvMedicarefvwillfvcoverfvthesefvitemsfvandfvservices.fvWhatfvshouldfv
youfvtellfvher?fv-fvanswer--Medicarefvdoesfvnotfvcoverfvacupuncture,fvor,fvinfvgeneral,fvglassesfvorfvdentures.
Mr.fvBickfordfvdidfvnotfvquitefvqualifyfvforfvthefvextrafvhelpfvlow-
incomefvsubsidyfvunderfvthefvMedicarefvPartfvDfvPrescriptionfvDrugfvprogramfvandfvhefvisfvwonderingfviffvtherefvisfvanyfvot
herfvoptionfvhefvhasfvforfvobtainingfvhelpfvwithfvhisfvconsiderablefvdrugfvcosts.fvWhatfvshouldfvyoufvtellfvhim?fv-fvanswer--
Hefvcouldfvcheckfvwithfvthefvmanufacturersfvoffvhisfvmedicationsfvtofvseefviffvtheyfvofferfvanfvassistancefvprogramfvtofvhelp
fvpeoplefvwithfvlimitedfvmeansfvobtainfvthefvmedicationsfvtheyfvneed.fvAlternatively,fvhefvcouldfvcheckfvtofvseefvwhetherfv
hisfvstatefvhasfvafvpharmacyfvassistancefvprogramfvtofvhelpfvhimfvwithfvhisfvexpenses.
Mr.fvLombardifvisfvinterestedfvinfvafvMedicarefvAdvantagefv(MA)fvPPOfvplanfvthatfvyoufvrepresent.fvItfvisfvonefvoffvthreefvpl
ansfvoperatedfvbyfvthefvsamefvorganizationfvinfvMr.fvLombardi'sfvarea.fvThefvMAfvPPOfvplanfvdoesfvnotfvincludefvdrugfvco
verage,fvbutfvthefvotherfvtwofvplansfvdo.fvMr.fvLombardifvlikesfvthefvPPOfvplanfvthatfvdoesfvnotfvincludefvdrugfvcoveragefva
ndfvintendsfvtofvobtainfvhisfvdrugfvcoveragefvthroughfvafvstand-
alonefvMedicarefvprescriptionfvdrugfvplan.fvWhatfvshouldfvyoufvtellfvhimfvaboutfvthisfvsituation?fv-fvanswer--
HefvcouldfvenrollfvinfvonefvoffvthefvMAfvplansfvthatfvincludefvprescriptionfvdrugfvcoveragefvorfvafvMedigapfvplanfvandfvafvsta
nd-alonefvprescriptionfvdrugfvplan,fvbutfvhefvcannotfvenrollfvinfvthefvMA-onlyfvPPOfvplanfvandfvafvstand-
alonefvprescriptionfvdrugfvplan.
Mr.fvTorresfvhasfvafvsmallfvsavingsfvaccount.fvHefvwouldfvlikefvtofvpayfvforfvhisfvmonthlyfvPartfvDfvpremiumsfvwithfvanfvauto
maticfvmonthlyfvwithdrawalfvfromfvhisfvsavingsfvaccountfvuntilfvitfvisfvexhausted,fvandfvthenfvhavefvhisfvpremiumsfvwithhe
ldfvfromfvhisfvSocialfvSecurityfvcheck.fvWhatfvshouldfvyoufvtellfvhim?fv-fvanswer--
Infvgeneral,fvhefvmustfvselectfvafvsinglefvPartfvDfvpremiumfvpaymentfvmechanismfvthatfvwillfvbefvusedfvthroughoutfvthefvye
ar.
AgentfvJenningsfvmakesfvafvpresentationfvonfvMedicarefvadvertisedfvasfvanfveducationalfvevent.fvAgentfvJenningsfvdistr
ibutesfvmaterialsfvthatfvarefvsolelyfveducationalfvinfvnature.fvHowever,fvshefvgivesfvafvbrieffvpresentationfvthatfvmentionsf
vplan-specificfvpremiums.fvIsfvthisfvafvprohibitedfvactivityfvatfvanfveventfvthatfvhasfvbeenfvadvertisedfvasfveducational?fv-
fvanswer--Yes.fvWhenfvanfveventfvhasfvbeenfvadvertisedfvasfv"educational,"fvdiscussingfvplan-
specificfvpremiumsfvisfvimpermissible.
Mrs.fvMulcahyfvisfvconcernedfvthatfvshefvmayfvnotfvqualifyfvforfvenrollmentfvinfvafvMedicarefvprescriptionfvdrugfvplanfvbec
ause,fvalthoughfvshefvisfventitledfvtofvPartfvA,fvshefvisfvnotfvenrolledfvunderfvMedicarefvPartfvB.fvWhatfvshouldfvyoufvtellfvhe
r?fv-fvanswer--
EveryonefvwhofvisfventitledfvtofvPartfvAfvorfvenrolledfvunderfvPartfvBfvisfveligiblefvtofvenrollfvinfvafvMedicarefvprescriptionfvdr
ugfvplan.fvAsfvlongfvasfvMrs.fvMulcahyfvisfventitledfvtofvPartfvA,fvshefvdoesfvnotfvneedfvtofvenrollfvunderfvPartfvBfvbeforefvenr
ollingfvinfvafvprescriptionfvdrugfvplan.
Mr.fvJacobfvunderstandsfvthatfvtherefvisfvafvstandardfvMedicarefvPartfvDfvprescriptionfvdrugfvbenefit,fvbutfvwhenfvhefvlook
sfvatfvinformationfvonfvvariousfvplansfvavailablefvinfvhisfvarea,fvhefvseesfvafvwidefvrangefvinfvwhatfvtheyfvchargefvforfvdeduct
ibles,fvpremiumsfvandfvcostfvsharing.fvHowfvcanfvyoufvexplainfvthisfvtofvhim?fv-fvanswer--
1fv/
fv7
, AHIP 2026 -
fv fv
fv Medicare Fraud, Waste, & Abuse Final Exam
fv fv fv fv fv fv
MedicarefvPartfvDfvdrugfvplansfvmayfvhavefvdifferentfvbenefitfvstructures,fvbutfvonfvaverage,fvtheyfvmustfvallfvbefvatfvleastfv
asfvgoodfvasfvthefvstandardfvmodelfvestablishedfvbyfvthefvgovernment.
Ms.fvMoorefvplansfvtofvretirefvwhenfvshefvturnsfv65fvinfvafvfewfvmonths.fvShefvisfvinfvexcellentfvhealthfvandfvwillfvhavefvconsi
derablefvincomefvwhenfvshefvretires.fvShefvisfvconcernedfvthatfvherfvincomefvwillfvmakefvitfvimpossiblefvforfvherfvtofvqualif
yfvforfvMedicare.fvWhatfvcouldfvyoufvtellfvherfvtofvaddressfvherfvconcern?fv-fvanswer--
Medicarefvisfvafvprogramfvforfvpeoplefvagefv65fvorfvolderfvandfvthosefvunderfvagefv65fvwithfvcertainfvdisabilities,fvendfvstag
efvrenalfvdiseasefvorfvLoufvGehrig'sfvdisease,fvsofvshefvwillfvbefveligiblefvforfvMedicare.
AgentfvArmstrongfvisfvemployedfvbyfvXYZfvAgency,fvwhichfvisfvunderfvcontractfvwithfvABCfvHealthfvPlan,fvafvMedicarefvA
dvantagefv(MA)fvplanfvthatfvoffersfvplansfvinfvmultiplefvstates.fvXYZfvAgencyfvmaintainsfvafvwebsitefvmarketingfvthefvMAfv
plansfvwithfvwhichfvitfvhasfvcontracts.fvAgentfvArmstrongfvfollowsfvupfvwithfvindividualsfvwhofvrequestfvmorefvinformationf
vaboutfvABCfvMAfvplansfvviafvthefvwebsitefvandfvtriesfvtofvpersuadefvthemfvtofvenrollfvinfvABCfvplans.fvWhatfvstatementfvb
estfvdescribesfvthefvmarketingfvandfvcompliancefvrulesfvthatfvapplyfvtofvAgentfvArmstrong?fv-fvanswer--
AgentfvArmstrongfvneedsfvtofvbefvlicensedfvandfvappointedfvinfveveryfvstatefvinfvwhichfvbeneficiariesfvtofvwhomfvhefvmark
etsfvABCfvMAfvplansfvarefvlocated.
Mr.fvSchmidtfvwouldfvlikefvtofvplanfvforfvretirementfvandfvhasfvaskedfvyoufvwhatfvisfvcoveredfvunderfvOriginalfvFee-for-
Servicefv(FFS)fvMedicare?fvWhatfvcouldfvyoufvtellfvhim?fv-fvanswer--
PartfvA,fvwhichfvcoversfvhospital,fvskilledfvnursingfvfacility,fvhospicefvandfvhomefvhealthfvservicesfvandfvPartfvB,fvwhichfvc
oversfvprofessionalfvservicesfvsuchfvasfvthosefvprovidedfvbyfvafvdoctorfvarefvcoveredfvunderfvOriginalfvMedicare.
YoufvarefvseekingfvtofvrepresentfvanfvindividualfvMedicarefvAdvantagefvplanfvandfvanfvindividualfvPartfvDfvplanfvinfvyourfvs
tate.fvYoufvhavefvcompletedfvthefvrequiredfvtrainingfvforfveachfvplan,fvbutfvyoufvdidfvnotfvachievefvafvpassingfvscorefvonfvth
efvtestsfvthatfvcamefvafterfvthefvtraining.fvWhatfvcanfvyoufvdofvinfvthisfvsituation?fv-fvanswer--
YoufvwillfvnotfvbefvablefvtofvrepresentfvanyfvMedicarefvAdvantagefvorfvPartfvDfvplanfvuntilfvyoufvcompletefvthefvtrainingfvan
dfvachievefvanfvadequatefvscore,fvalthoughfvyoufvwillfvnotfvhavefvtofvtakefvafvtestfviffvyoufvexclusivelyfvmarketfvemployer/
unionfvgroupfvplansfvandfvthefvcompaniesfvdofvnotfvrequirefvtesting.
Mr.fvChenfvisfvenrolledfvinfvhisfvemployer'sfvgroupfvhealthfvplanfvandfvwillfvbefvretiringfvsoon.fvHefvwouldfvlikefvtofvknowfvhis
fvoptionsfvsincefvhefvhasfvdecidedfvtofvdropfvhisfvretireefvcoveragefvandfvisfveligiblefvforfvMedicare.fvWhatfvshouldfvyoufvtell
fvhim?fv-fvanswer--Mr.fvChenfvcanfvdisenrollfvfromfvhisfvemployer-
sponsoredfvcoveragefvtofvelectfvafvMedicarefvAdvantagefvorfvPartfvDfvplanfvwithinfv2fvmonthsfvoffvhisfvdisenrollment,fvbutf
vhefvshouldfvrevaluatefviffvhefvreallyfvwantsfvtofvdropfvhisfvemployerfvcoverage.
Mr.fvDavisfvisfv52fvyearsfvoldfvandfvhasfvrecentlyfvbeenfvdiagnosedfvwithfvend-
stagefvrenalfvdiseasefv(ESRD)fvandfvwillfvsoonfvbeginfvdialysis.fvHefvisfvwonderingfviffvhefvcanfvobtainfvcoveragefvunderfv
Medicare.fvWhatfvshouldfvyoufvtellfvhim?fv-fvanswer--Hefvmayfvsign-
upfvforfvMedicarefvatfvanyfvtimefvhoweverfvcoveragefvusuallyfvbeginsfvonfvthefvfourthfvmonthfvafterfvdialysisfvtreatmentsfv
start.
Mr.fvJohannsenfvisfventitledfvtofvMedicarefvPartfvAfvandfvPartfvB.fvHefvgainsfvthefvPartfvDfvlow-
incomefvsubsidy.fvHowfvdoesfvthatfvaffectfvhisfvabilityfvtofvenrollfvorfvdisenrollfvinfvafvPartfvDfvplan?fv-fvanswer--
HefvqualifiesfvforfvafvspecialfvelectionfvperiodfvandfvcanfvenrollfvinfvorfvdisenrollfvfromfvafvPartfvDfvplanfvoncefvduringfvthatfvp
eriod.
Mr.fvLopez,fvwhofvisfvfairlyfvwell-
offfvfinancially,fvwouldfvlikefvtofvenrollfvinfvafvMedicarefvprescriptionfvdrugfvplanfvyoufvrepresentfvandfvsimplyfvgivefvyoufvafv
checkfvtofvcoverfvhisfvpremiumsfvforfvthefventirefvyear.fvWhatfvshouldfvyoufvtellfvhim?fv-fvanswer--
Enrolleesfvshouldfvpayfvusingfvautomaticfvwithdrawalfvfromfvafvbankfvaccountfvorfvcreditfvorfvdebitfvcard,fvdirectfvmonthlyf
vbillingfvfromfvthefvplan,fvorfvdeductionsfvfromfvtheirfvSocialfvSecurityfvcheck.
2fv/
fv7
fv fv
fv Medicare Fraud, Waste, & Abuse Final Exam
fv fv fv fv fv fv
AHIP FINAL EXAM TEST QUESTIONS AND
ANSWERS
Mrs.fvWestfvwearsfvglassesfvandfvdenturesfvandfvhasfvenjoyedfvconsiderablefvpainfvrelieffvfromfvarthritisfvthroughfvacup
uncture.fvShefvisfvconcernedfvaboutfvwhetherfvorfvnotfvMedicarefvwillfvcoverfvthesefvitemsfvandfvservices.fvWhatfvshouldfv
youfvtellfvher?fv-fvanswer--Medicarefvdoesfvnotfvcoverfvacupuncture,fvor,fvinfvgeneral,fvglassesfvorfvdentures.
Mr.fvBickfordfvdidfvnotfvquitefvqualifyfvforfvthefvextrafvhelpfvlow-
incomefvsubsidyfvunderfvthefvMedicarefvPartfvDfvPrescriptionfvDrugfvprogramfvandfvhefvisfvwonderingfviffvtherefvisfvanyfvot
herfvoptionfvhefvhasfvforfvobtainingfvhelpfvwithfvhisfvconsiderablefvdrugfvcosts.fvWhatfvshouldfvyoufvtellfvhim?fv-fvanswer--
Hefvcouldfvcheckfvwithfvthefvmanufacturersfvoffvhisfvmedicationsfvtofvseefviffvtheyfvofferfvanfvassistancefvprogramfvtofvhelp
fvpeoplefvwithfvlimitedfvmeansfvobtainfvthefvmedicationsfvtheyfvneed.fvAlternatively,fvhefvcouldfvcheckfvtofvseefvwhetherfv
hisfvstatefvhasfvafvpharmacyfvassistancefvprogramfvtofvhelpfvhimfvwithfvhisfvexpenses.
Mr.fvLombardifvisfvinterestedfvinfvafvMedicarefvAdvantagefv(MA)fvPPOfvplanfvthatfvyoufvrepresent.fvItfvisfvonefvoffvthreefvpl
ansfvoperatedfvbyfvthefvsamefvorganizationfvinfvMr.fvLombardi'sfvarea.fvThefvMAfvPPOfvplanfvdoesfvnotfvincludefvdrugfvco
verage,fvbutfvthefvotherfvtwofvplansfvdo.fvMr.fvLombardifvlikesfvthefvPPOfvplanfvthatfvdoesfvnotfvincludefvdrugfvcoveragefva
ndfvintendsfvtofvobtainfvhisfvdrugfvcoveragefvthroughfvafvstand-
alonefvMedicarefvprescriptionfvdrugfvplan.fvWhatfvshouldfvyoufvtellfvhimfvaboutfvthisfvsituation?fv-fvanswer--
HefvcouldfvenrollfvinfvonefvoffvthefvMAfvplansfvthatfvincludefvprescriptionfvdrugfvcoveragefvorfvafvMedigapfvplanfvandfvafvsta
nd-alonefvprescriptionfvdrugfvplan,fvbutfvhefvcannotfvenrollfvinfvthefvMA-onlyfvPPOfvplanfvandfvafvstand-
alonefvprescriptionfvdrugfvplan.
Mr.fvTorresfvhasfvafvsmallfvsavingsfvaccount.fvHefvwouldfvlikefvtofvpayfvforfvhisfvmonthlyfvPartfvDfvpremiumsfvwithfvanfvauto
maticfvmonthlyfvwithdrawalfvfromfvhisfvsavingsfvaccountfvuntilfvitfvisfvexhausted,fvandfvthenfvhavefvhisfvpremiumsfvwithhe
ldfvfromfvhisfvSocialfvSecurityfvcheck.fvWhatfvshouldfvyoufvtellfvhim?fv-fvanswer--
Infvgeneral,fvhefvmustfvselectfvafvsinglefvPartfvDfvpremiumfvpaymentfvmechanismfvthatfvwillfvbefvusedfvthroughoutfvthefvye
ar.
AgentfvJenningsfvmakesfvafvpresentationfvonfvMedicarefvadvertisedfvasfvanfveducationalfvevent.fvAgentfvJenningsfvdistr
ibutesfvmaterialsfvthatfvarefvsolelyfveducationalfvinfvnature.fvHowever,fvshefvgivesfvafvbrieffvpresentationfvthatfvmentionsf
vplan-specificfvpremiums.fvIsfvthisfvafvprohibitedfvactivityfvatfvanfveventfvthatfvhasfvbeenfvadvertisedfvasfveducational?fv-
fvanswer--Yes.fvWhenfvanfveventfvhasfvbeenfvadvertisedfvasfv"educational,"fvdiscussingfvplan-
specificfvpremiumsfvisfvimpermissible.
Mrs.fvMulcahyfvisfvconcernedfvthatfvshefvmayfvnotfvqualifyfvforfvenrollmentfvinfvafvMedicarefvprescriptionfvdrugfvplanfvbec
ause,fvalthoughfvshefvisfventitledfvtofvPartfvA,fvshefvisfvnotfvenrolledfvunderfvMedicarefvPartfvB.fvWhatfvshouldfvyoufvtellfvhe
r?fv-fvanswer--
EveryonefvwhofvisfventitledfvtofvPartfvAfvorfvenrolledfvunderfvPartfvBfvisfveligiblefvtofvenrollfvinfvafvMedicarefvprescriptionfvdr
ugfvplan.fvAsfvlongfvasfvMrs.fvMulcahyfvisfventitledfvtofvPartfvA,fvshefvdoesfvnotfvneedfvtofvenrollfvunderfvPartfvBfvbeforefvenr
ollingfvinfvafvprescriptionfvdrugfvplan.
Mr.fvJacobfvunderstandsfvthatfvtherefvisfvafvstandardfvMedicarefvPartfvDfvprescriptionfvdrugfvbenefit,fvbutfvwhenfvhefvlook
sfvatfvinformationfvonfvvariousfvplansfvavailablefvinfvhisfvarea,fvhefvseesfvafvwidefvrangefvinfvwhatfvtheyfvchargefvforfvdeduct
ibles,fvpremiumsfvandfvcostfvsharing.fvHowfvcanfvyoufvexplainfvthisfvtofvhim?fv-fvanswer--
1fv/
fv7
, AHIP 2026 -
fv fv
fv Medicare Fraud, Waste, & Abuse Final Exam
fv fv fv fv fv fv
MedicarefvPartfvDfvdrugfvplansfvmayfvhavefvdifferentfvbenefitfvstructures,fvbutfvonfvaverage,fvtheyfvmustfvallfvbefvatfvleastfv
asfvgoodfvasfvthefvstandardfvmodelfvestablishedfvbyfvthefvgovernment.
Ms.fvMoorefvplansfvtofvretirefvwhenfvshefvturnsfv65fvinfvafvfewfvmonths.fvShefvisfvinfvexcellentfvhealthfvandfvwillfvhavefvconsi
derablefvincomefvwhenfvshefvretires.fvShefvisfvconcernedfvthatfvherfvincomefvwillfvmakefvitfvimpossiblefvforfvherfvtofvqualif
yfvforfvMedicare.fvWhatfvcouldfvyoufvtellfvherfvtofvaddressfvherfvconcern?fv-fvanswer--
Medicarefvisfvafvprogramfvforfvpeoplefvagefv65fvorfvolderfvandfvthosefvunderfvagefv65fvwithfvcertainfvdisabilities,fvendfvstag
efvrenalfvdiseasefvorfvLoufvGehrig'sfvdisease,fvsofvshefvwillfvbefveligiblefvforfvMedicare.
AgentfvArmstrongfvisfvemployedfvbyfvXYZfvAgency,fvwhichfvisfvunderfvcontractfvwithfvABCfvHealthfvPlan,fvafvMedicarefvA
dvantagefv(MA)fvplanfvthatfvoffersfvplansfvinfvmultiplefvstates.fvXYZfvAgencyfvmaintainsfvafvwebsitefvmarketingfvthefvMAfv
plansfvwithfvwhichfvitfvhasfvcontracts.fvAgentfvArmstrongfvfollowsfvupfvwithfvindividualsfvwhofvrequestfvmorefvinformationf
vaboutfvABCfvMAfvplansfvviafvthefvwebsitefvandfvtriesfvtofvpersuadefvthemfvtofvenrollfvinfvABCfvplans.fvWhatfvstatementfvb
estfvdescribesfvthefvmarketingfvandfvcompliancefvrulesfvthatfvapplyfvtofvAgentfvArmstrong?fv-fvanswer--
AgentfvArmstrongfvneedsfvtofvbefvlicensedfvandfvappointedfvinfveveryfvstatefvinfvwhichfvbeneficiariesfvtofvwhomfvhefvmark
etsfvABCfvMAfvplansfvarefvlocated.
Mr.fvSchmidtfvwouldfvlikefvtofvplanfvforfvretirementfvandfvhasfvaskedfvyoufvwhatfvisfvcoveredfvunderfvOriginalfvFee-for-
Servicefv(FFS)fvMedicare?fvWhatfvcouldfvyoufvtellfvhim?fv-fvanswer--
PartfvA,fvwhichfvcoversfvhospital,fvskilledfvnursingfvfacility,fvhospicefvandfvhomefvhealthfvservicesfvandfvPartfvB,fvwhichfvc
oversfvprofessionalfvservicesfvsuchfvasfvthosefvprovidedfvbyfvafvdoctorfvarefvcoveredfvunderfvOriginalfvMedicare.
YoufvarefvseekingfvtofvrepresentfvanfvindividualfvMedicarefvAdvantagefvplanfvandfvanfvindividualfvPartfvDfvplanfvinfvyourfvs
tate.fvYoufvhavefvcompletedfvthefvrequiredfvtrainingfvforfveachfvplan,fvbutfvyoufvdidfvnotfvachievefvafvpassingfvscorefvonfvth
efvtestsfvthatfvcamefvafterfvthefvtraining.fvWhatfvcanfvyoufvdofvinfvthisfvsituation?fv-fvanswer--
YoufvwillfvnotfvbefvablefvtofvrepresentfvanyfvMedicarefvAdvantagefvorfvPartfvDfvplanfvuntilfvyoufvcompletefvthefvtrainingfvan
dfvachievefvanfvadequatefvscore,fvalthoughfvyoufvwillfvnotfvhavefvtofvtakefvafvtestfviffvyoufvexclusivelyfvmarketfvemployer/
unionfvgroupfvplansfvandfvthefvcompaniesfvdofvnotfvrequirefvtesting.
Mr.fvChenfvisfvenrolledfvinfvhisfvemployer'sfvgroupfvhealthfvplanfvandfvwillfvbefvretiringfvsoon.fvHefvwouldfvlikefvtofvknowfvhis
fvoptionsfvsincefvhefvhasfvdecidedfvtofvdropfvhisfvretireefvcoveragefvandfvisfveligiblefvforfvMedicare.fvWhatfvshouldfvyoufvtell
fvhim?fv-fvanswer--Mr.fvChenfvcanfvdisenrollfvfromfvhisfvemployer-
sponsoredfvcoveragefvtofvelectfvafvMedicarefvAdvantagefvorfvPartfvDfvplanfvwithinfv2fvmonthsfvoffvhisfvdisenrollment,fvbutf
vhefvshouldfvrevaluatefviffvhefvreallyfvwantsfvtofvdropfvhisfvemployerfvcoverage.
Mr.fvDavisfvisfv52fvyearsfvoldfvandfvhasfvrecentlyfvbeenfvdiagnosedfvwithfvend-
stagefvrenalfvdiseasefv(ESRD)fvandfvwillfvsoonfvbeginfvdialysis.fvHefvisfvwonderingfviffvhefvcanfvobtainfvcoveragefvunderfv
Medicare.fvWhatfvshouldfvyoufvtellfvhim?fv-fvanswer--Hefvmayfvsign-
upfvforfvMedicarefvatfvanyfvtimefvhoweverfvcoveragefvusuallyfvbeginsfvonfvthefvfourthfvmonthfvafterfvdialysisfvtreatmentsfv
start.
Mr.fvJohannsenfvisfventitledfvtofvMedicarefvPartfvAfvandfvPartfvB.fvHefvgainsfvthefvPartfvDfvlow-
incomefvsubsidy.fvHowfvdoesfvthatfvaffectfvhisfvabilityfvtofvenrollfvorfvdisenrollfvinfvafvPartfvDfvplan?fv-fvanswer--
HefvqualifiesfvforfvafvspecialfvelectionfvperiodfvandfvcanfvenrollfvinfvorfvdisenrollfvfromfvafvPartfvDfvplanfvoncefvduringfvthatfvp
eriod.
Mr.fvLopez,fvwhofvisfvfairlyfvwell-
offfvfinancially,fvwouldfvlikefvtofvenrollfvinfvafvMedicarefvprescriptionfvdrugfvplanfvyoufvrepresentfvandfvsimplyfvgivefvyoufvafv
checkfvtofvcoverfvhisfvpremiumsfvforfvthefventirefvyear.fvWhatfvshouldfvyoufvtellfvhim?fv-fvanswer--
Enrolleesfvshouldfvpayfvusingfvautomaticfvwithdrawalfvfromfvafvbankfvaccountfvorfvcreditfvorfvdebitfvcard,fvdirectfvmonthlyf
vbillingfvfromfvthefvplan,fvorfvdeductionsfvfromfvtheirfvSocialfvSecurityfvcheck.
2fv/
fv7
