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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? - ANSWER-
Medicare does not cover acupuncture, or, in general, glasses or
dentures.
You have come to Mrs. Midler's home for a sales presentation.
At the beginning of the presentation, Mrs. Midler tells you that
she has a copy of her medical record available because she
thinks this will help you understand her needs. She suggests
that you will know which questions to ask her about her health
status in order to best assist her in selecting a plan. What
should you do? - ANSWER-You can only ask Mrs. Midler
questions about conditions that affect eligibility, specifically,
whether she has end stage renal disease or one of the
conditions that would qualify her for a special needs plan.
Mrs. Reeves is newly eligible to enroll in a Medicare Advantage
plan and her MA Initial Coverage Election Period (ICEP) has just
begun. Which of the following can she not do during the ICEP?
,- ANSWER-She can enroll in a Medigap plan to supplement the
benefits of the MA plan that she's also enrolling in.
Mrs. Chi is age 75 and enjoys a comfortable but not extremely
high-income level. She wishes to enroll in a MA MSA plan that
she heard about from her neighbor. She also wants to have
prescription drug coverage since her doctor recently
prescribed several expensive medications. Currently, she is
enrolled in Original Medicare and a standalone Part D plan. How
would you advise Mrs. Chi? - ANSWER-Mrs. Chi may enroll in a
MS MSA plan and remain in her current standalone Part D
prescription drug plan.
Alice is enrolled in a MA-PD plan. She makes a permanent
move across the country and wonders what her options are for
continuing MA-PD coverage. What would you say to her in
regard to a special enrollment period (SEP)? - ANSWER-She is
likely to qualify for a SEP. She can choose an effective date of
up to three months after the month in which the enrollment
form is received by the new plan, but the effective date may not
be earlier than the date of her permanent move.
Which of the following individuals is most likely to be eligible to
enroll in a part d
plan? - ANSWER-Jose, a grandfather who was granted asylum
and has worked
in the United States for many
years.
, When Myra first became eligible for Medicare, she enrolled in
Original Medicare (Parts A and B). She is now 67 and will turn
68 on July 1. She would now like to enroll in a Medicare
Advantage (MA) plan and approaches you about her options.
What advice would you give her? - ANSWER-She should remain
in Original Medicare until the annual election period running
from October 15 to December 7, during which she can select an
MA plan.
Mr. Chen has heard about Medical Savings Account (MSA), but
wants to know if it is just about saving money, or if he will get
insurance coverage for his health care expenditures as well.
What should you tell him? - ANSWER-Under the Medicare
Advantage program. an MSA plan involves the combination of
high deductible health plan and savings account for health
expenses. Medicare will make contributions to this savings
account to help him pay his health care expenses while in the
deductible.
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? - ANSWER-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.