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Mrs. Valentino is currently Mrs. Valentino can submit a written request to Medicare
enrolled in a to be disenrolled from the Cost plan and enroll in
Medicare Cost plan. This
Original Medicare.
plan is no longer meeting
her needs, but it is now
mid-year and past the
annual election period
(AEP).
What would you say to
Mrs. Valentino
regarding her
options?
When Myra first became She should remain in Original Medicare until the annual
eligible for Medicare, she election period running from October 15 to December
enrolled in Original 7, during which she can select an MA plan.
Medicare (Parts A and B).
She is now 67 and will turn
68 on July 1. She would now
like to enroll in a Medicare
Advantage (MA) plan and
approaches you about her
options.
What advice would you give
her?
Mrs. Tanner is enrolled in a Mrs. Tanner can go to non-plan doctors for certain
Medicare Advantage HMO services without receiving prior approval
that offers a point of
service options. This allows
Mrs. Tanner to do which of
the following?
,Agent Harriet Walker has Inquire whether the client qualifies for a special
recently begun marketing enrollment period, and if not, solicit an enrollment
Medicare Advantage and application once the annual open enrollment election
related products aimed at period begins on October 15th.
meeting the needs of senior
citizens. Client Mildred
Jones has expressed interest
in a Medicare Advantage plan.
It is now the beginning of
September. If you were in
Agent Walker's position,
what would you do?
Mrs. Chen will be 65 soon, Most individuals who are citizens and over age 65 are
has been a citizen for covered under Part A by virtue of having paid Medicare
twelve years, has been taxes while working, though some may be covered
employed full time, and paid as a
taxes during that entire result of paying monthly premiums.
period. She is concerned
that
she will not qualify for
coverage under part A
because she was not born
in the United States. What
should you tell her?
Mr. Katz reached the Part D Because he reached the coverage gap last year, he will
coverage gap in August last probably reah it again this year close to the same
year. His prescriptions have time.
not been changed, he is
keeping the same Part D
plan and the benefits, cost-
sharing, and coverage of his
drugs are all the same as
last year. He asked what
to expect for this year
about his out-of-pocket
costs.
What could you tell him?
, ABC is a Medicare Authorization may be obtained by directing a beneficiary
Advantage (MA) plan to a website to provide consent
sponsor. It would like to
use its enrollees' protected
health information to
market
non-health related products
such as life insurance and
annuities. To do so it must
obtain authorization from
the enrollees. Which
statement best describes
the authorization
process?
Mrs. Henderson believes that In order to obtain Part B coverage, she must pay a
she will standard monthly premium, though it is higher for
qualify for Medicare
individuals with higher incomes.
coverage when she turns
65, without paying any
premiums, because she has
been working for 40 years
and paying Medicare taxes.
What should you tell her?
Mr. Buck has several family Medicare covers periodic performance of a range of
members who died from screening tests that are meant to provide early
different cancers. He wants detection of disease. Mr. Buck will need to check
to know if Medicare covers specific tests before obtaining them to see if they
cancer screening. What will be covered.
should you tell him?
Ms. Moore plans to retire Medicare is a program for people age 65 or older and those
when she turns 65 in a few under age 65 with
certain disabilities, end-stage renal disease, and Lou
months. She is in
Gehrig's disease so she will be eligible for Medicare.
excellent
health and will have
considerable income when
she retires. She is concerned
that her income will make it