2025/2026 Update) Questions with Verified
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Mrs. West wears glasses and dentures and has enjoyed
considerable pain relief from arthritis through
acupuncture. She is concerned about whether or not
Medicare will cover these items and services. What
should you tell her?
Medicare does not cover acupuncture, or, in general,
glasses or dentures.
,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?
He could check with the manufacturers of his
medications to see if they offer an assistance program to
help people with limited means 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. Lombardi is interested in a Medicare Advantage (MA)
PPO plan that you represent. It is one of three plans
operated by the same organization in Mr. Lombardi's
area. The MA PPO plan does not include drug coverage,
but the other two plans do. Mr. Lombardi likes the PPO
plan that does not include drug coverage and intends to
obtain his drug coverage through a stand-alone
Medicare prescription drug plan. What should you tell
him about this situation?
He could enroll in one of the MA plans that include
prescription drug coverage or a Medigap plan and a
stand-alone prescription drug plan, but he cannot enroll
in the MA-only PPO plan and a stand-alone prescription
drug plan.
Mr. Torres has a small savings account. He would like to
pay for his monthly Part D premiums with an automatic
monthly withdrawal from his savings account until it is
exhausted, and then have his premiums withheld from his
Social Security check. What should you tell him?
In general, he must select a single Part D premium
payment mechanism that will be used throughout the
year.