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Reviews

Mr. Roberts is enrolled in an MA plan

Mr. Roberts is enrolled… Mr. Roberts is enrolled in an MA plan. He recently suffered complications following hip replacement surgery. As a result, he has spent the last three months in Resthaven, a skilled nursing facility. Mr. Roberts is about to be discharged. What advice would you give him regarding his health coverage options? His … Read more

You are visiting with Mr. Tully and his daughter at her request. He has advanced Alzheimer’s

You are visiting… You are visiting with Mr. Tully and his daughter at her request. He has advanced Alzheimer’s and is incapable of understanding the implications of choosing a Medicare Advantage or prescription drug plan. Can his daughter fill out the enrollment form and sign it for him? Mr. Tully’s daughter can do so only, … Read more

Mr. Jacob understands that there is a standard Medicare Part D prescription drug benefit

Mr. Jacob understands…. Mr. Jacob understands that there is a standard Medicare Part D prescription drug benefit, but when he looks at information on various plans available in his area, he sees a wide range in what they charge for deductibles, premiums and cost sharing. How can you explain this to him? Medicare Part D … Read more

What is the community rating

What is the community… What is the community rating its when insured members in the some rating class pay the same rate ( excludes discounts)

Ms. Lewis understands that Medicare prescription drug plans may use various methods to control

Ms. Lewis understands… Ms. Lewis understands that Medicare prescription drug plans may use various methods to control the use of specific drugs. She has heard about a technique called “step therapy” and is wondering if you can explain what that is. What should you tell her? Step therapy involves using one or more lower priced … Read more