CORRECT ANSWERS 2025/2026
Mr.ABauerAisA49AyearsAold,AbutAeighteenAmonthsAagoAheAwasAdeclaredAdisabledAbyAtheASocialAS
ecurityAAdministrationAandAhasAbeenAreceivingAdisabilityApayments.AHeAisAwonderingAwhether
AheAcanAobtainAcoverageAunderAMedicare.AWhatAshouldAyouAtellAhim?A-
AcorrectAanswersAfterAreceivingAsuchAdisabilityApaymentsAforA24Amonths,AheAwillAbeAautomatic
allyAenrolledAinAMedicare,AregardlessAofAage.
Mrs.AParkAisAanAelderlyAretiree.AMrs.AParkAhasAaAlowAfixedAincome.AWhatAcouldAyouAtellAMrs.APa
rkAthatAmightAbeAofAassistance?A-
AcorrectAanswersSheAshouldAcontactAherAstateAMedicaidAagencyAtoAseeAifAsheAqualifiesAforAoneA
ofAseveralAprogramsAthatAcanAhelpAwithAMedicareAcostsAforAwhichAsheAisAresponsible.
Mr.AXiAwillAsoonAturnAageA65AandAhasAcomeAtoAyouAforAadviceAasAtoAwhatAservicesAareAprovided
AunderAOriginalAMedicare.AWhatAshouldAyouAtellAMr.AXiAthatAbestAdescribesAtheAhealthAcoverag
eAprovidedAtoAMedicareAbeneficiaries?A-
AcorrectAanswersBeneficiariesAunderAOriginalAMedicareAhaveAnoAcost-
sharingAforAmostApreventiveAservicesAwhichAincludeAimmunizationsAsuchAasAannualAfluAshots.
AgentAJohnAMillerAisAmeetingAwithAJerryASmith,AaAnewAprospect.AJerryAisAcurrentlyAenrolledAinA
MedicareAPartsAAAandAB.AJerryAhasAalsoApurchasedAaAMedicareASupplementA(Medigap)AplanAw
hichAheAhasAhadAforAseveralAyears.AHowever,AtheAplanAdoesAnotAprovideAdrugAbenefits.AHowAw
ouldAyouAadviseAAgentAJohnAMillerAtoAproceed?A-
AcorrectAanswersTellAprospectAJerryASmithAthatAheAshouldAconsiderAaddingAaAstandaloneAPartA
DAprescriptionAdrugAcoverageApolicyAtoAhisApresentAcoverage.
Mr.AWuAisAeligibleAforAMedicare.AHeAhasAlimitedAfinancialAresourcesAbutAfailedAtoAqualifyAforAth
eAPartADAlow-
incomeAsubsidy.AWhereAmightAheAturnAforAhelpAwithAhisAprescriptionAdrugAcosts?A-
AcorrectAanswersMr.AWuAmayAstillAqualifyAforAhelpAinApayingAPartADAcostsAthroughAhisAStateAPha
rmaceuticalAAssistanceAProgram.
Ms.AHendersonAbelievesAthatAsheAwillAqualifyAforAMedicareACoverageAwhenAsheAturnsA65,Awith
outApayingAanyApremiums,AbecauseAsheAhasAbeenAworkingAforA40AyearsAandApayingAMedicareAt
axes.AWhatAshouldAyouAtellAher?A-
AcorrectAanswersToAobtainAPartABAcoverage,AsheAmustApayAaAstandardAmonthlyApremium,Athou
ghAitAisAhigherAforAindividualsAwithAhigherAincomes.
Mr.ADiazAcontinuedAworkingAwithAhisAcompanyAandAwasAinsuredAunderAhisAemployer'sAgroupAp
lanAuntilAheAreachedAageA68.AHeAhasAheardAthatAthereAisAaApremiumApenaltyAforAthoseAwhoAdid
AnotAsignAupAforAPartABAwhenAfirstAeligibleAandAwantsAtoAknowAhowAmuchAheAwillAhaveAtoApay.A
WhatAshouldAyouAtellAhim?A-
, AcorrectAanswersMr.ADiazAwillAnotApayAanyApenaltyAbecauseAheAhadAcontinuousAcoverageAunde
rAhisAemployer'sAplan.
Mrs.APeňaAisA66AyearsAold,AhasAcoverageAunderAanAemployerAplan,AandAwillAretireAnextAyear.ASh
eAheardAsheAmustAenrollAinAPartABAatAtheAbeginningAofAtheAyearAtoAensureAnoAgapAinAcoverage.A
WhatAcanAyouAtellAher?A-
AcorrectAanswersSheAmayAenrollAatAanyAtimeAwhileAsheAisAcoveredAunderAherAemployerAplan,Ab
utAsheAwillAhaveAaAspecialAeight-
monthAenrollmentAperiodAafterAtheAlastAmonthAonAherAemployerAplanAthatAdiffersAfromAtheAst
andardAgeneralAenrollmentAperiod,AduringAwhichAsheAmayAenrollAinAMedicareAPartAB.
Mr.AMoy'sAwifeAhasAaAMedicareAAdvantageAplan,AbutAheAwantsAtoAunderstandAwhatAcoverageA
MedicareASupplementalAInsuranceAprovidesAsinceAhisAhealthAcareAneedsAareAdifferentAfromAhi
sAwife'sAneeds.AWhatAcouldAyouAtellAMr.AMoy?A-
AcorrectAanswersMedicareASupplementalAInsuranceAwouldAhelpAcoverAhisAPartAAAandAPartABAd
eductiblesAorAcoinsuranceAinAOriginalAFee-for-
ServiceA(FFS)AMedicareAasAwellAasApossiblyAsomeAservicesAthatAMedicareAdoesAnotAcover.
WhichAofAtheAfollowingAstatement(s)Ais/areAcorrectAaboutAaAMedicareASavingsAAccountA(MSA)A
Plans?
I.AMSAsAmayAhaveAeitherAaApartialAnetwork,AfullAnetwork,AorAnoAnetworkAofAproviders.
II.AMSAAplansAcoverAPartAAAandAPartABAbenefitsAbutAnotAPartADAprescriptionAdrugAbenefits.
III.AAnAindividualAwhoAisAenrolledAinAanAMSAAplanAisAresponsibleAforAaAminimalAdeductibleAofA$
500AindexedAforAinflation.
IV.ANon-
networkAprovidersAmustAacceptAtheAsameAamountAthatAOriginalAMedicareAwouldApayAthemAas
ApaymentAinAfull.A-AcorrectAanswersI,AII,AandAIVAonly
JuanAHernandezAisAturningA65AnextAmonth,AJuanAlegallyAenteredAtheAUnitedAStatesAoverAtwent
yAyearsAagoAbutAisAnotAaAcitizen.ASinceAhisAentryAintoAtheAcountry,AJuanAhasAworkedAatASmallcap
AIncorporatedAandAcontributedAtoAtheAMedicareAsystem.AJuanAsuffersAfromAdiabetes.AHeAwillAs
oonAretireAandAasksAyouAifAheAcanAenrollAinAaAMedicareAAdvantageAplanAthatAyouArepresent.AHo
wAwouldAyouArespond?A-
AcorrectAanswersJuanAisAeligibleAtoAenrollAinAaAMedicareAAdvantageAasAlongAasAheAisAentitledAto
APartAAAandAenrolledAinAPartAB.AJuanAshouldAgoAtoAtheASocialASecurityAwebsiteAtoAenrollAinAMedi
careAPartAAAandABAifAheAhasAnotAdoneAsoAalready.AOnceAheAisAenrolled,AheAcanAchooseAaAMedica
reAAdvantageAplan.
DanielAisAaAmiddle-
incomeAMedicareAbeneficiary.AHeAhasAchronicAbronchitis,AputtingAhimAatAsevereAriskAforApneu