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,Mr. Garrett has just entered his MA Initial Coverage
Election Period (ICEP). What action could you help him
take during this time? - CORRECT ANSWER-He will have
one opportunity to enroll in a Medicare Advantage plan
Mrs. Park is an elderly retiree. Mrs. Park has a low
fixed income. What could you tell Mrs. Park that
might be of assistance? - CORRECT ANSWER-She should
contact her state Medicaid agency to see if she
qualifies forprograms that can help with Medicare
costs for which she is responsible.
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? - CORRECT ANSWER-You should tell Madeline
that she will be able to enroll in Medicare Part 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.
, 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 - CORRECT ANSWER-After receiving such
disability payments for 24 months, he will be automatically
enrolled in Medicare, regardless of age.
Mr. Schmidt 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? - CORRECT
ANSWER-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.
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? -
CORRECT 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.