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    mrs. peňa is 66 years old, has coverage under an employer plan, and will retire next year. she heard she must enroll in part b at the beginning of the year to ensure no gap in coverage. what can you tell her?

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    Question2. Question3. Choose one answer.

    November 29, 2016 | Author: Randell Hines | Category: N/A

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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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    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 US.(Medicare Entitlement Part A)

    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.

    PENA is 66 years old, has coverage under an employer plan and will retire next year. She heard she must enroll in Part B at the beginning of the year to ensure no gap in coverage. (Medicare Premiums for Part B)

    She MAY enroll at any time while she is covered under her employer plan, but she will have a special eight-month enrollment period that differs from the standard general enrollment period, during which she may enroll in Medicare Part B.

    KELLY is entitled to Part A, but is not yet enrolled in Part B. She is considering enrollment in a Medicare health plan. What should you advise her to do before she will be able to enroll into a Medicare health plan? (Medicare Eligibility)

    In order to joint a Medicare health plan, she also MUST enroll in Part B

    DIAZ continued working wit his company and was insured under his employer's group plan until he reached 68. He has heard that there is a premium penalty for those who did not sign up for Part B when first eligible and wants to know how much he will have to pay. (Medicare Premiums Part B)

    Mr. Diaz will not pay any penalty because he had continuous coverage under his employer's plan.

    TURNER is comparing her employer's retiree ins. to Original Medicare and would like to know which of the following services Original Medicare will cover if the appropriate criteria are met? (Medicare covers or not)

    Original Medicare covers ambulance services.

    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. (Medicare Part D)

    Part D covers Rx and she should look at her premiums formulary, and cost sharing to see if they have changed.

    YU has limited income and resources so you have encouraged him to see if he qualifies for some type of financial assistance. Mr. Yu is not sure it is worth the trouble to apply and wants to know what the assistance could do for him if he qualifies. (Limited Income/Resources)

    He might qualify for help with Part D Rx costs and help paying Part A and/or Part B premiums, deductibles, and/or cost sharing.

    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. (Original Medicare and Part D) MEDIGAP

    Mrs. Schlick CAN'T purchase a Medigap plan that covers drugs, but she could keep her Medigap policy and enroll in a Part D Rx plan.

    CAPADONA would like to purchase a MA plan and Medigap plan to pick up costs not covered by that plan. What should you tell him? (MA and Part 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.

    ALONSO receives some help paying for his two generic Rx's from his employer's retiree coverage, but he wants to compare it to a Part D Rx plan. He asks you what costs he would generally expect to encounter when enrolling into a standard Medicare Part D Rx plan. (Original Medicare and Part D)

    He generally would pay a monthly premium, annual deductible, and per-Rx cost sharing.

    DAVIS is 49 years old and has been receiving disability benefits from SSA for 12 months. Can you sell him a MA or Part D Rx policy? (Medicare Entitlement Part B: Medicare Eligibility Part C/D)

    NO, he can't purchase a MA or Part D policy because he has NOT received SSA or RR disability benefits for 24 months.

    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. (Medicare Premiums for Part B)

    In order to obtain Part B coverage, she must pay a STANDARD MONTHLY premium , though it is HIGHER for individuals with higher income.

    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.

    Medicare health plans may offer extra benefits that Original Medicare does NOT offer such as vision, hearing, and dental services and MUST include a maximum out of pocket limit on Part A and B services.

    QUIGLEY has just turned 65 and received a letter informing her that she has been automatically enrolled in Medicare Part B. She wants to understand what this means. (Medicare premiums and deductibles)

    Part B primarily covers physician services. She will be paying a monthly premium and, with the exception of many preventive and screening tests, generally will have 20% co-pays for these services, in addition to an annual deductible.

    STYLES would like to plan for retirement and has asked you what is covered under Original Fee-for-Service FFS Medciare? (Medicare Part D)

    Source : courseaides.com

    Mrs. Peňa is 66 years old, has coverage under an employer plan and will retire next year. She heard

    Answer:She may not enroll in Part B while covered under an employer group health plan and must wait until the standard general enrollment period after she retir…

    10/14/2019 Social Studies High School

    answered • expert verified

    Mrs. Peňa is 66 years old, has coverage under an employer plan and will retire next year. She heard she must enroll in Part B at the beginning of the year to ensure no gap in coverage. What can you tell her?

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    Ace 4.3K answers 32.4M people helped

    Answer:

    She may not enroll in Part B while covered under an employer group health plan and must wait until the standard general enrollment period after she retires.

    Explanation:

    In reality, Medicare accompanies an assortment of costs —including premiums, co-pays, and deductibles. High earners workers pay more for individual incentives, and there's no out-of-pocket greatest.

    For whatever length of time that you have in any event a 10-year work history, you pay no premiums for Medicare Part A, which spreads emergency clinic stays, skilled nursing, hospice, and some home well-being administrations. Be that as it may, it has a deductible of $1,364 per advantage period, alongside absolute tops on benefits.

    grendeldekt and 4 more users found this answer helpful

    2.3 (3 votes)

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    Answer

    Beginner 1 answer 4 people helped

    Answer:

    She may enroll at any time while she is covered under her employer plan, but she will have a special eight-month enrollment period that differs from the standard general enrollment period, during which she may enroll in Medicare Part B.

    Explanation:

    izvoru47 and 10 more users found this answer helpful

    4.7 (6 votes)

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