2024/2025 ALREADY GRADED A+
1. Mrs.West wears glasses and dentures and has enjoyed considerable pain relief from arthritis
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b through acupuncture. She is concerned about whether or not Medicare will cover these items and
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b services.What should you tell her?
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..ANSWER>>> Medicare does not cover acupuncture, or, in general, glasses or dentures.
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2. Mr. Bickford did not quite qualify for the extra help low-income subsidy under the Medicare Part D
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b Prescription Drug program and he is wondering if there is any other option he has for obtaining help
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b with his considerable drug costs.What should you tell him?
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..ANSWER>>> He could check with the manufacturers of his medications to see if they offer an assistance
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b program to help people with
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limited means obtain the medications they need.Alternatively, he could check to see whether his state has a pharmacy
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assistance program to help him with his expenses.
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3. Mr. Lombardi is interested in a Medicare Advantage (MA) PPO plan that you represent. It is one of
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b three plans operated by the same organization in Mr. Lombardi's area. The MA PPO plan does not
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include drug coverage, but the other two plans do. Mr. Lombardi likes the PPO plan that does not
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b include drug coverage and intends to obtain his drug coverage through a
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stand-alone Medicare prescription drug plan.What should you tell him about this situation?
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..ANSWER>>> He could enroll in one of the MA plans that include prescription drug coverage or a Medigap plan
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, b and a stand-alone prescription drug plan, but he cannot enroll in the MA-only PPO plan and a stand-alone
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b prescription drug plan. b b
4. Mr.Torres has a small savings account. He would like to pay for his monthly Part D premiums with an
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b automatic monthly withdrawal from his savings account until it is exhausted, and then have his
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b premiums withheld from his Social Security check.What should you tell him?
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..ANSWER>>> In general, he must select a single Part D premium payment mechanism that will be used
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b throughout the year. b b
5. Agent Jennings makes a presentation on Medicare advertised as an educa- tional event. Agent
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b Jennings distributes materials that are solely educational in nature. However, she gives a brief
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b presentation that mentions plan-specific premiums. Is this a prohibited activity at an event that has been
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b advertised as educational? b b
..ANSWER>>>Yes.When an event has been advertised as "educational," dis- cussing plan-specific premiums
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b is impermissible.
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6. Mrs. Mulcahy is concerned that she may not qualify for enrollment in a Medicare prescription drug
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b plan because, although she is entitled to Part A, she is not enrolled under Medicare Part B.What should
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byou tell her? b b
..ANSWER>>> Everyone who is entitled to Part A or enrolled under Part B is eligible to enroll in a Medicare
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b prescription drug plan. As long as Mrs. Mulcahy is entitled to Part A, she does not need to enroll under Part B
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b before enrolling in a prescription drug plan.
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7. Mr.Jacob understands that there is a standard Medicare Part D prescription drug benefit, but when he
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b looks at information on various plans available in
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b