CORRECT ANSWERS 2025/2026
Save
Mrs.ADuarteAisAenrolledAinAOriginalAMedicareAPartsAAAandAB.ASheAhasArecentlyAreviewedAherAM
edicareASummaryANoticeA(MSN)AandAdisagreesAwithAaAdeterminationAthatApartiallyAdeniedAon
eAofAherAclaimsAforAservices.AWhatAadviceAwouldAyouAgiveAher?A-
AMrs.ADuarteAshouldAfileAanAappealAofAthisAinitialAdetermination AwithinA120AdaysAofAtheAdateAs
heAreceivedAtheAMSNAinAtheAmail.
(note)BeneficiariesAmustAfileAanAappealArelatedAtoAPartAAAorABAservicesAwithinA120AdaysAofAtheA
dateAtheyAgetAtheAMSNAinAtheAmail.AIfAaAbeneficiaryAdisagreesAwithAtheAMedicareAAdministrati
veAContractor'sAdecision,Ahe/sheAhasA180AdaysAafterAgettingAtheAdecisionAnoticeAtoArequestAaAr
econsiderationAbyAaAQualifiedAIndependentAContractor.
Ms.AHendersonAbelievesAthatAsheAwillAqualifyAforAMedicareACoverageAwhenAsheAturnsA65,Awith
outApayingAanyApremiums,AbecauseAsheAhasAbeenAworkingAforA40AyearsAandApayingAMedicareAt
axes.AWhatAshouldAyouAtellAher?A-
AToAobtainAPartABAcoverage,AsheAmustApayAaAstandardAmonthlyApremium,AthoughAitAisAhigherAfo
rAindividualsAwithAhigherAincomes.
Mr.ARaineyAisAexperiencingAparanoidAdelusionsAandAhisAphysicianAfeelsAthatAheAshouldAbeAhosp
italized.AWhatAshouldAyouAtellAMr.ARaineyA(orAhisArepresentative)AaboutAtheAlengthAofAanAinpati
entApsychiatricAhospitalAstayAthatAMedicareAwillAcover?A-
AMedicareAwillAcoverAaAtotalAofA190AdaysAofAinpatientApsychiatricAcareAduringAMr.ARainey'sAenti
reAlifetime.
Mr.APatelAisAinAgoodAhealthAandAisApreparingAaAbudgetAinAanticipationAofAhisAretirementAwhenA
heAturnsA66.AHeAwantsAtoAunderstandAtheAhealthAcareAcostsAheAmightAbeAexposedAtoAunderAM
edicareAifAheAwereAtoArequireAhospitalizationAasAaAresultAofAanAillness.AInAgeneralAterms,AwhatAc
ouldAyouAtellAhimAaboutAhisAcostsAforAinpatientAhospitalAservicesAunderAOriginalAMedicare?A-
AUnderAOriginalAMedicare,AthereAisAaAsingleAdeductibleAamountAdueAforAtheAfirstA60AdaysAofAan
yAinpatientAhospitalAstay,AafterAwhichAitAconvertsAintoAaAper-
dayAcoinsuranceAamountAthroughAdayA90.AAfterAdayA90,AheAwouldApayAaAdailyAamountAupAtoA6
0AdaysAoverAhisAlifetime,AafterAwhichAheAwouldAbeAresponsibleAforAallAcosts
Mr.AAlonsoAreceivesAsomeAhelpApayingAforAhisAtwoAgenericAprescriptionAdrugsAfromAhisAemplo
yer'sAretireeAcoverage,AbutAheAwantsAtoAcompareAitAtoAaAPartADAprescriptionAdrugAplan.AHeAask
sAyouAwhatAcostsAheAwouldAgenerallyAexpectAtoAencounterAwhenAenrollingAintoAaAstandardAMe
dicareAPartADAprescriptionAdrugAplan.AWhatAshouldAyouAtellAhim?A-
AHeAgenerallyAwouldApayAaAmonthlyApremium,AannualAdeductible,AandAper-prescriptionAcost-
sharing.