TESTED QUESTIONS WITH FULL SOLUTION
GRADED A+
◉ 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? Answer:
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? Answer: 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? Answer: In general, he must select a single Part
D premium payment mechanism that will be used throughout the
year.
◉ Agent Jennings makes a presentation on Medicare advertised as
an educational event. Agent Jennings distributes materials that are
solely educational in nature. However, she gives a brief presentation
that mentions plan-specific premiums. Is this a prohibited activity at
an event that has been advertised as educational? Answer: Yes.
When an event has been advertised as "educational," discussing
plan-specific premiums is impermissible.
◉ Mrs. Mulcahy is concerned that she may not qualify for enrollment
in a Medicare prescription drug plan because, although she is
entitled to Part A, she is not enrolled under Medicare Part B. What
should you tell her? Answer: Everyone who is entitled to Part A or
enrolled under Part B is eligible to enroll in a Medicare prescription
drug plan. As long as Mrs. Mulcahy is entitled to Part A, she does not
need to enroll under Part B before enrolling in a prescription drug
plan.
◉ Mr. Jacob understands that there is a standard Medicare Part D
prescription drug benefit, but when he looks at information on