Mr. Barker enjoys a comfortable retirement income. He recently had surgery and expected that he would have certain services and items covered by the plan with minimal out-of-pocket costs because his MA-PD coverage has been very good. However, when he received the bill, he was surprised to see large charges in excess of his maximum … Read more
Ms. Gibson recently lost her employer group health and drug coverage and now she wants to enroll in a PPO that does not include drug coverage. What should you tell her about obtaining drug coverage? a. She can enroll in the PPO and if she decides that she wants drug coverage, she will be able … Read more
Mr. Wells is trying to understand the difference between Original Medicare and Medicare Advantage. What would be the correct description? Question 10Select one: a. Medicare Advantage is a new name for the Original Medicare program. b. Medicare Advantage is a way of covering all the Original Medicare benefits through private health insurance companies. c. Medicare … Read more
Mr. Greco is in excellent health, lives in his own home, and has a sizeable income from his investments. He has a friend enrolled in a Medicare Advantage Special Needs Plan (SNP). His friend has mentioned that the SNP charges very low cost-sharing amounts and Mr. Greco would like to join that plan. What should … Read more
Mr. Castillo, a naturalized citizen, previously enrolled in Medicare Part B but has recently stopped paying his Part B premium. Mr. Castillo is still covered by Part A. He would like to enroll in a Medicare Advantage (MA) plan and is still covered by Part A. What should you tell him? Question 8Select one: a. … Read more
Mrs. Wang wants to know generally how the benefits under Original Medicare might compare to the benefits package of a Medicare Advantage Plan before she starts looking at specific plans. What could you tell her? Question 5Select one: a. Medicare Advantage Plans are not permitted to offer any benefits beyond those available under the Original … Read more
Mrs. Radford asks whether there are any special eligibility requirements for Medicare Advantage. What should you tell her? Question 4Select one: a. Mrs. Radford must apply to the Medicare Advantage plan, which will include a medical review, before being accepted and enrolled. b. Mrs. Radford must be entitled to Part A and enrolled in Part … Read more
