,
, Mrs. Shields is covered by Original Medicare. She sustained a hip fracture and is being
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successfully treated for that condition. However, she and her physicians feel that after her
m m m m m m m m m m m m m m
lengthy hospital stay, she will need a month or two of nursing and rehabilitative care. What
m m m m m m m m m m m m m m m m
should you tell them about Original Medicare's coverage of care in a skilled nursing facility?
m m m m m m m m m m m m m m m
- ANS=Medicare will cover Mrs. Shield's skilled nursing services provided during the first 20
m m m m m m m m m m m m m m
days of her stay, after which she would have a copay until she has been in the facility for
m m m m m m m m m m m m m m m m m m m
100 days.
m m
Mrs. West wears glasses and dentures and has enjoyed considerable pain relief from arthritis
m m m m m m m m m m m m m
through massage therapy. She is concerned about whether or not Medicare will cover these
m m m m m m m m m m m m m m
items and services. What should you tell her? - ANS=Medicare does not cover massage
m m m m m m m m m m m m m m
therapy, or, in general, glasses or dentures.
m m m m m m m
Mrs. Park is an elderly retiree. Mrs. Park has a low fixed income. What could you tell Mrs.
m m m m m m m m m m m m m m m m m
Park that might be of assistance? - ANS=She should contact her state Medicaid agency to
m m m m m m m m m m m m m m m
see if she qualifies for one of several programs that can help with Medicare costs for which
m m m m m m m m m m m m m m m m m
she is responsible.
m m m
Mr. Alonso receives some help paying for his two generic prescription drugs from his
m m m m m m m m m m m m m
memployer's retiree coverage, but he wants to compare it to a Part D prescription drug plan.
m m m m m m m m m m m m m m m
mHe asks you what costs he would generally expect to encounter when enrolling into a
m m m m m m m m m m m m m m
mstandard Medicare Part D prescription drug plan. What should you tell him? - ANS=He
m m m m m m m m m m m m m
mgenerally would pay a monthly premium, annual deductible, and per-prescription cost-
m m m m m m m m m m
sharing.
Mrs. Gonzalez is enrolled in Original Medicare and has a Medigap policy as well, but it
m m m m m m m m m m m m m m m
provides no drug coverage. She would like to keep the coverage she has but replace her
m m m m m m m m m m m m m m m m
, Mrs. Shields is covered by Original Medicare. She sustained a hip fracture and is being
m m m m m m m m m m m m m m
successfully treated for that condition. However, she and her physicians feel that after her
m m m m m m m m m m m m m m
lengthy hospital stay, she will need a month or two of nursing and rehabilitative care. What
m m m m m m m m m m m m m m m m
should you tell them about Original Medicare's coverage of care in a skilled nursing facility?
m m m m m m m m m m m m m m m
- ANS=Medicare will cover Mrs. Shield's skilled nursing services provided during the first 20
m m m m m m m m m m m m m m
days of her stay, after which she would have a copay until she has been in the facility for
m m m m m m m m m m m m m m m m m m m
100 days.
m m
Mrs. West wears glasses and dentures and has enjoyed considerable pain relief from arthritis
m m m m m m m m m m m m m
through massage therapy. She is concerned about whether or not Medicare will cover these
m m m m m m m m m m m m m m
items and services. What should you tell her? - ANS=Medicare does not cover massage
m m m m m m m m m m m m m m
therapy, or, in general, glasses or dentures.
m m m m m m m
Mrs. Park is an elderly retiree. Mrs. Park has a low fixed income. What could you tell Mrs.
m m m m m m m m m m m m m m m m m
Park that might be of assistance? - ANS=She should contact her state Medicaid agency to
m m m m m m m m m m m m m m m
see if she qualifies for one of several programs that can help with Medicare costs for which
m m m m m m m m m m m m m m m m m
she is responsible.
m m m
Mr. Alonso receives some help paying for his two generic prescription drugs from his
m m m m m m m m m m m m m
memployer's retiree coverage, but he wants to compare it to a Part D prescription drug plan.
m m m m m m m m m m m m m m m
mHe asks you what costs he would generally expect to encounter when enrolling into a
m m m m m m m m m m m m m m
mstandard Medicare Part D prescription drug plan. What should you tell him? - ANS=He
m m m m m m m m m m m m m
mgenerally would pay a monthly premium, annual deductible, and per-prescription cost-
m m m m m m m m m m
sharing.
Mrs. Gonzalez is enrolled in Original Medicare and has a Medigap policy as well, but it
m m m m m m m m m m m m m m m
provides no drug coverage. She would like to keep the coverage she has but replace her
m m m m m m m m m m m m m m m m
