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MAP CERTIFICATION TEST LATEST2025/2026 REAL EXAM 140
QUESTIONS AND CORRECT ANSWERS|ALREADY GRADED A+
If a beneficiary is enrolled in a stand-alone prescription drug plan and wants to keep that
plan, what type of Medicare health plan could the individual also enroll in, without being
automatically disenrolled from the stand-alone prescription drug plan?
- ......ANSWER........The beneficiary could enroll in a private fee-for-service (PFFS) plan that
does not include prescription drug coverage; a Cost plan; or a Medicare Medical Savings
Account (MSA) plan.
Juan Hernandez is turning 65 next month, Juan legally entered the United States over
twenty years ago but is not a citizen. Since his entry into the country, Juan has worked at
small cap Incorporated and contributed to the Medicare system. Juan suffers from
diabetes. He will soon retire and asks you if he can enroll in a Medicare Advantage plan
that you represent. How would you respond? - ......ANSWER........Juan is eligible to enroll in
a Medicare Advantage if he is entitled to Part A and enrolled in Part B. Juan should go to the
Social Security website to enroll in Medicare Part A and B if he has not done so already.
Once he is enrolled, he can choose a Medicare Advantage plan.
Linda Sanchez is conducting a previously agreed upon appointment with client, Maria
Gomez about a MA-Part D plan she represents. Before an enrollment form is completed,
Linda needs to provide Maria with information about ____ - ......ANSWER........whether
Maria's primary care provider is in the plan's network. whether Maria's current
prescriptions are covered by the plan. the monthly premium cost(s).
Madeline Martinez was widowed several years ago. Her husband worked for many years
and contributed into the Medicare system. He also left a substantial estate which provides
Madeline with an annual income of approximately $130,000. Madeline, who has only
worked part-time for the last three years, will soon turn age 65 and hopes to enroll in
Original Medicare. She comes to you for advice. What should you tell her?
- ......ANSWER........You should tell Madeline that she will be able to enroll in Medicare Part
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A without paying monthly premiums due to her husband's long work record and
participation in the Medicare system. You should also tell Madeline that she will pay Part B
premiums at more than the standard lowest rate but less than the highest rate due her
substantial income.
Mary Samuels recently suffered a stroke while visiting her daughter and grandchildren. As
a result, Mary has been admitted to a rehabilitation hospital where she is expected to
reside for several months. The rehabilitation hospital is located outside the geographic
area served by her current Medicare Advantage (MA) plan. What options are available to
Mary regarding her health plan coverage? - ......ANSWER........Mary may make an unlimited
number of MA enrollment requests and may disenroll from her current MA plan.
Melissa Meadows is a marketing representative for Best Care which has recently
introduced a Medicare Advantage plan offering comprehensive dental benefits for $15 per
month. Best Care has not submitted any potential posts to CMS for approval. Melissa
would like to use the power of social media to reach potential prospects. What advice
would you give her? - ......ANSWER........As soon as CMS approves Best Care's social
media posts, Agent Meadows could post a tweet stating that "Best Care offers an array of
Medicare Advantage benefit packages. One might be right for you. Call me to find out
more!"
Miguel Sanchez is a relatively new agent who has come to you for advice as to what he can
do during the Medicare Advantage Open Enrollment Period (MA-OEP). What advice should
you give Miguel? - ......ANSWER........During the MA-OEP, Miguel can have one-on-one
meetings with beneficiaries who have requested such meetings.
Mildred Savage enrolled in Allcare Medicare Advantage plan several years ago. Mildred
recently learned that she is suffering from inoperable cancer and has just a few months to
live. She would like to spend these final months in hospice care. Mildred's family asks you
whether hospice benefits will be paid for under the Allcare Medicare Advantage plan. What
should you say? - ......ANSWER........Mildred may remain enrolled in Allcare and make a
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hospice election. Hospice benefits will be paid for by Original Medicare under Part A and
Allcare will continue to pay for any non-hospice services.
Mr. Barker enjoys a comfortable retirement income. He recently had surgery and expected
that he would have certain services and items covered by the plan with minimal out-of-
pocket costs because his MA-PD coverage has been very good. However, when he
received the bill, he was surprised to see large charges more than his maximum out-of-
pocket limit that included some services and items he thought would be fully covered. He
called you to ask what he could do? What could you tell him? - ......ANSWER........You can
offer to review the plans appeal process to help him ask the plan to review the coverage
decision.
Mr. Bauer is 49 years old, but eighteen months ago he was declared disabled by the Social
Security Administration and has been receiving disability payments. He is wondering
whether he can obtain coverage under Medicare. What should you tell him?
- ......ANSWER........After receiving such disability payments for 24 months, he will be
automatically enrolled in Medicare, regardless of age.
Mr. Bickford did not quite qualify for the extra help low-income subsidy under the Medicare
Part D Prescription Drug program, and he is wondering if there is any other option he has
for obtaining help with his considerable drug costs. What should you tell him?
- ......ANSWER........He could check with the manufacturers of his medications to see if
they offer an assistance program to help people with limited means to obtain the
medications they need. Alternatively, he could check to see whether his state has a
pharmacy assistance program to help him with his expenses.
Mr. Capadona would like to purchase a Medicare Advantage (MA) plan and a Medigap plan
to pick up costs not covered by that plan. What should you tell him? - ......ANSWER........It
is illegal for you to sell Mr. Capadona a Medigap plan if he is enrolled in an MA plan, and
besides, Medigap only works with Original Medicare.
MAP CERTIFICATION TEST LATEST2025/2026 REAL EXAM 140
QUESTIONS AND CORRECT ANSWERS|ALREADY GRADED A+
If a beneficiary is enrolled in a stand-alone prescription drug plan and wants to keep that
plan, what type of Medicare health plan could the individual also enroll in, without being
automatically disenrolled from the stand-alone prescription drug plan?
- ......ANSWER........The beneficiary could enroll in a private fee-for-service (PFFS) plan that
does not include prescription drug coverage; a Cost plan; or a Medicare Medical Savings
Account (MSA) plan.
Juan Hernandez is turning 65 next month, Juan legally entered the United States over
twenty years ago but is not a citizen. Since his entry into the country, Juan has worked at
small cap Incorporated and contributed to the Medicare system. Juan suffers from
diabetes. He will soon retire and asks you if he can enroll in a Medicare Advantage plan
that you represent. How would you respond? - ......ANSWER........Juan is eligible to enroll in
a Medicare Advantage if he is entitled to Part A and enrolled in Part B. Juan should go to the
Social Security website to enroll in Medicare Part A and B if he has not done so already.
Once he is enrolled, he can choose a Medicare Advantage plan.
Linda Sanchez is conducting a previously agreed upon appointment with client, Maria
Gomez about a MA-Part D plan she represents. Before an enrollment form is completed,
Linda needs to provide Maria with information about ____ - ......ANSWER........whether
Maria's primary care provider is in the plan's network. whether Maria's current
prescriptions are covered by the plan. the monthly premium cost(s).
Madeline Martinez was widowed several years ago. Her husband worked for many years
and contributed into the Medicare system. He also left a substantial estate which provides
Madeline with an annual income of approximately $130,000. Madeline, who has only
worked part-time for the last three years, will soon turn age 65 and hopes to enroll in
Original Medicare. She comes to you for advice. What should you tell her?
- ......ANSWER........You should tell Madeline that she will be able to enroll in Medicare Part
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A without paying monthly premiums due to her husband's long work record and
participation in the Medicare system. You should also tell Madeline that she will pay Part B
premiums at more than the standard lowest rate but less than the highest rate due her
substantial income.
Mary Samuels recently suffered a stroke while visiting her daughter and grandchildren. As
a result, Mary has been admitted to a rehabilitation hospital where she is expected to
reside for several months. The rehabilitation hospital is located outside the geographic
area served by her current Medicare Advantage (MA) plan. What options are available to
Mary regarding her health plan coverage? - ......ANSWER........Mary may make an unlimited
number of MA enrollment requests and may disenroll from her current MA plan.
Melissa Meadows is a marketing representative for Best Care which has recently
introduced a Medicare Advantage plan offering comprehensive dental benefits for $15 per
month. Best Care has not submitted any potential posts to CMS for approval. Melissa
would like to use the power of social media to reach potential prospects. What advice
would you give her? - ......ANSWER........As soon as CMS approves Best Care's social
media posts, Agent Meadows could post a tweet stating that "Best Care offers an array of
Medicare Advantage benefit packages. One might be right for you. Call me to find out
more!"
Miguel Sanchez is a relatively new agent who has come to you for advice as to what he can
do during the Medicare Advantage Open Enrollment Period (MA-OEP). What advice should
you give Miguel? - ......ANSWER........During the MA-OEP, Miguel can have one-on-one
meetings with beneficiaries who have requested such meetings.
Mildred Savage enrolled in Allcare Medicare Advantage plan several years ago. Mildred
recently learned that she is suffering from inoperable cancer and has just a few months to
live. She would like to spend these final months in hospice care. Mildred's family asks you
whether hospice benefits will be paid for under the Allcare Medicare Advantage plan. What
should you say? - ......ANSWER........Mildred may remain enrolled in Allcare and make a
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hospice election. Hospice benefits will be paid for by Original Medicare under Part A and
Allcare will continue to pay for any non-hospice services.
Mr. Barker enjoys a comfortable retirement income. He recently had surgery and expected
that he would have certain services and items covered by the plan with minimal out-of-
pocket costs because his MA-PD coverage has been very good. However, when he
received the bill, he was surprised to see large charges more than his maximum out-of-
pocket limit that included some services and items he thought would be fully covered. He
called you to ask what he could do? What could you tell him? - ......ANSWER........You can
offer to review the plans appeal process to help him ask the plan to review the coverage
decision.
Mr. Bauer is 49 years old, but eighteen months ago he was declared disabled by the Social
Security Administration and has been receiving disability payments. He is wondering
whether he can obtain coverage under Medicare. What should you tell him?
- ......ANSWER........After receiving such disability payments for 24 months, he will be
automatically enrolled in Medicare, regardless of age.
Mr. Bickford did not quite qualify for the extra help low-income subsidy under the Medicare
Part D Prescription Drug program, and he is wondering if there is any other option he has
for obtaining help with his considerable drug costs. What should you tell him?
- ......ANSWER........He could check with the manufacturers of his medications to see if
they offer an assistance program to help people with limited means to obtain the
medications they need. Alternatively, he could check to see whether his state has a
pharmacy assistance program to help him with his expenses.
Mr. Capadona would like to purchase a Medicare Advantage (MA) plan and a Medigap plan
to pick up costs not covered by that plan. What should you tell him? - ......ANSWER........It
is illegal for you to sell Mr. Capadona a Medigap plan if he is enrolled in an MA plan, and
besides, Medigap only works with Original Medicare.
