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    mrs. paterson is concerned about the deductibles and co-payments associated with original medicare. what can you tell her about medigap as an option to address this concern?

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    Mrs. Paterson is concerned

    about the deductibles and co-payments associated with Original Medicare. What

    can you tell her about Medigap as an option to address this concern?

    Medigap plans help beneficiaries cover

    coinsurance, co-payments, and/or deductibles for medically necessary services

    Mrs. Schlick is enrolled in

    Original Medicare and has a Medigap policy as well, but it provides no drug

    coverage. She would like to keep the coverage she has, but replace her existing

    Medigap plan with one that provides drug coverage. What should you tell her?

    Mrs. Schlick cannot purchase a

    Medigap plan that covers drugs, but she could keep her Medigap policy and

    enroll in a Part D prescription drug plan.

    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?

    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

    Mrs. Turner

    is comparing her employer's retiree insurance to Original Medicare and would

    like to know which of the following services Original Medicare will cover if

    the appropriate criteria are met? What could you tell her?

    Original Medicare covers ambulance services.

    Mrs.

    Geisler's neighbor told her she should look at her Part D options during the

    annual Medicare enrollment period because features of Part D might have

    changed. Mrs. Geisler can't remember what Part D is so she called you to ask

    what her neighbor was talking about. What could you tell her?

    Part D covers prescription drugs and she should look at her premiums, formulary, and

    cost sharing to see if they have changed

    Mrs. McNamara will be 65 soon, has been a citizen for twelve

    years, has been employed full time, and paid taxes during that entire 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?

    Most individuals who are

    citizens and over age 65 are covered under Part A by virtue of having paid

    Medicare taxes while working, though some may be covered as a result of paying

    monthly premiums

    Ms. Henderson believes that she will qualify for Medicare

    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?

    In order to obtain Part B coverage, she must

    pay a standard monthly premium, though it is higher for individuals with higher

    incomes

    Mr. Alonso receives some help paying for his two generic

    prescription drugs from his employer's retiree coverage, but he wants to

    compare it to a Part D prescription drug plan. He asks you what costs he would

    generally expect to encounter when enrolling into a standard Medicare Part D

    prescription drug plan. What should you tell him?

    He generally would pay a monthly premium,

    annual deductible, and per-prescription cost sharing

    Mr. Meoni's wife has a Medicare Advantage plan, but he wants

    to understand what coverage Medicare Supplemental Insurance provides since his

    health care needs are different from his wife's needs. What could you tell Mr.

    Meoni? Medicare

    Supplemental Insurance would help cover his Part A and Part B cost sharing in

    Original Fee-for-Service (FFS) Medicare as well as possibly some services that

    Medicare does not cover

    Mr. Singh would like drug coverage, but does

    not want to be enrolled into a health plan. What should you tell him?

    Mr.

    Singh can enroll in a stand-alone prescription drug plan and continue to be

    covered for Part A and Part B services through Original Fee-for-Service

    Medicare Mr.

    Styles would like to plan for retirement and has asked you what is covered

    under Original Fee-for-Service (FFS) Medicare? What could you tell him?

    Part

    A, which covers hospital, skilled nursing facility, hospice and home health

    services and Part B, which covers professional services such as those provided

    by a doctor are covered under Original Medicare

    Mr. Hudson is concerned that if he signs up for a Medicare

    health plan, the health plan may, at some time in the future, reduce his

    benefits below what is available in Original Medicare. What should you tell him

    Source : freezingblue.com

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    Mrs. Paterson is concerned about the deductibles and co-payments associated with Original Medicare. What can you tell her about Medigap as an option to address this concern?

    Click card to see definition 👆

    b. Medigap plans help beneficiaries cover coinsurance, co-payments, and/or deductibles for medically necessary services.

    Click again to see term 👆

    Mrs. Gonzalez is enrolled in Original Medicare and has a Medigap policy as well, but it provides no drug coverage. She would like to keep the coverage she has, but replace her existing Medigap plan with one that provides drug coverage. What should you tell her?

    Click card to see definition 👆

    c. Mrs. Gonzalez cannot purchase a Medigap plan that covers drugs, but she could keep her Medigap policy and enroll in a Part D prescription drug plan.

    Click again to see term 👆

    1/5 Created by Stephanie_Burket

    Terms in this set (5)

    Mrs. Paterson is concerned about the deductibles and co-payments associated with Original Medicare. What can you tell her about Medigap as an option to address this concern?

    b. Medigap plans help beneficiaries cover coinsurance, co-payments, and/or deductibles for medically necessary services.

    Mrs. Gonzalez is enrolled in Original Medicare and has a Medigap policy as well, but it provides no drug coverage. She would like to keep the coverage she has, but replace her existing Medigap plan with one that provides drug coverage. What should you tell her?

    c. Mrs. Gonzalez cannot purchase a Medigap plan that covers drugs, but she could keep her Medigap policy and enroll in a Part D prescription drug plan.

    Mr. Kelly has substantial financial means. He enrolled in Original Medicare and purchased a Medigap policy many years ago that offered prescription drug coverage. The prescription drug coverage has not been comparable to that offered by Medicare Part D for several years and despite notification, Mr. Kelly took no action. Which of the following statements best describes what will occur if Mr. Kelly now decides to enroll in Medicare Part D?

    c. He will incur a late enrollment penalty.

    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?

    d. 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.

    What impact, if any, will the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) have upon Medigap plans?

    d. The Part B deductible will no longer be covered for individuals newly eligible for Medicare starting January 1, 2020.

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    1 Ms. Moore plans to retire when she turns 65 in a few months. She is in excellent health and will have considerable income when she retires. She is concerned that her income will make it impossible for her to qualify for Medicare. What could you tell her to address her concern? Choose one answer.

    a. Eligibility for Medicare is based on whether or not a person has ever been em she or her husband were ever employed by the federal government, she can e

    b. Medicare is a program for people age 65 or older and those under age 65 w disease or Lou Gehrig’s disease, so she will be eligible for Medicare.

    c. Medicare is a program for people of all ages with specific mental health disa she would not qualify, but should instead look into her state’s Medicaid program

    d. Medicare is a program for people who have incomes and assets below spec exact financial situation before telling her whether she can obtain Medicare cov Source: Medicare Program Basics

    Question2 Mr. Styles would like to plan for retirement and has asked you what is covered under Original Fee-for-Service (FFS) Medicare? What could you tell him? Choose one answer.

    a. Part A, which covers hospital, skilled nursing facility, hospice and home heal professional services such as those provided by a doctor are covered under Or

    b. Part D, which covers prescription drug services, is covered under Original M

    c. Part C, which always covers dental and vision services, is covered under Ori

    d. Part A, which covers long term custodial care services, is covered under Ori Source: Different Ways to Get Medicare

    Question3

    Mr. Hudson is concerned that if he signs up for a Medicare health plan, the health plan may, at some time in the future, reduce his benefits below what is available in Original Medicare. What should you tell him about his concern? Choose one answer.

    a. Medicare health plans offer a menu of benefits, from which he may choos coverage, he need only contact the plan and select other options.

    b. Medicare health plans must cover all benefits available under Medicare P prescription drugs.

    c. He should not be concerned because Medicare health plans must cover a which means that all of them provide substantially greater benefits than are a Part B.

    d. Medicare health plans have the option of deciding, each year, what servic health plan could eliminate some benefits covered by Medicare and he shou Medicare health plan. Source: Different Ways to Get Medicare, cont'd

    Question4 Mrs. Geisler’s neighbor told her she should look at her Part D options during the annual Medicare enrollment period because features of Part D might have changed. Mrs. Geisler can’t remember what Part D is so she called you to ask what her neighbor was talking about. What could you tell her? Choose one answer.

    a. Part D covers hospital and home health services and the cost sharing has ch

    b. Part D covers prescription drugs and she should look at her premiums, form have changed.

    c. Part D covers physician and non-physician practitioner services and the ded the physician charges may go up.

    d. Part D covers long-term care services and she shouldn’t worry because ther Source: Different Ways to Get Medicare, cont'd

    Question5

    Mrs. Weems wants to know generally how the benefits under Original Medicare might compare to the benefit package of a Medicare Health Plan before she starts looking at specific plans. What could you tell her? Choose one answer.

    a. Medicare Health Plans do not necessarily have to cover all of the Original M must include a maximum out-of-pocket limit.

    b. Medicare Health Plans are not permitted to offer any benefits beyond those program and must have the same maximum out-of-pocket limit on Part A and P c. Medicare Health Plans may offer extra benefits that Original Medicare does dental services and must include a maximum out-of-pocket limit on Part A and

    d. All Medicare Health Plans offer cost-sharing that is lower than Original Medic services, but the maximum out-of-pocket limit is higher than in Original Medica Source: Part C Medicare Health Plans

    Question6 Mr. Meoni’s wife has a Medicare Advantage plan, but he wants to understand what coverage Medicare Supplemental Insurance provides since his health care needs are different from his wife’s needs. What could you tell Mr.Meoni? Choose one answer.

    a. Medicare Supplemental Insurance would help cover his Part A and Part B cost (FFS) Medicare as well as possibly some services that Medicare does not cover.

    b. Medicare Supplemental Insurance would cover his dental, vision and hearing s c. Medicare Supplemental Insurance would cover his long-term care services.

    d. Medicare Supplemental Insurance would cover all of his IRS approved health c Original Fee-for-Service (FFS) Medicare. Source: Medigap (Medicare Supplement Insurance)

    1

    Mrs. Chen will be 65 soon, has been a citizen for twelve years, has been employed full time, and paid taxes during that entire 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? Choose one answer. a. All individuals who are citizens and over age 65 will be covered under Part A.

    Source : silo.tips

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