Mr. Romeo is 64 retiring soon and considering enrollment in his employer sponsored retiree group health plan that includes drug coverage with normal co-pays he heard about a neighbors medical advantage PD plan that you request or represent and because he takes numerous prescription drugs he is considered signing up for it what should you tell him Mr. Wells is trying to understand the difference between original Medicare and Medicare advantage what would you consider correct description
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Mr. Lopez, who is fairly well-off financially, would like to enroll in a Medicare prescription drug plan you represent and simply give you a check to cover his premiums for the entire year/ What should you tell him
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1. Which of the following is correct? Part A is Hospital Insurance Part B is Medicare Prescription Drug Coverage Part C is Medical Insurance Part D is Medicare Advantage Plans (like HMOs and PPOs) 2. John is 65 years old with a history of diabetes, arthritis, and chronic back pain. He has signed up for Part B. He is currently in his Medigap Open Enrollment Period. John knows that during this time his insurance company can do which of the following: Use medical underwriting Sell him any Medigap plan they offer Charge him more for a Medigap policy than they charge someone with no health problems Make him wait for coverage to start 3. Which statement about Medicare is accurate? It is a health insurance program for people aged 65 and older People of any age who have End-Stage Renal Disease (ESRD) are eligible It is administered by each state individually It covers prescription drugs only 4. Janet was recently diagnosed with pneumonia exacerbated by her COPD and will need therapy at a Skilled Nursing Facility (SNF) before returning home. Which part of Medicare will help pay for her skilled nursing facility care? Part A Part B Part C Part D 5. Susan has recently had a stroke and is being discharged from the hospital. She would like to go home with home health services. She would like Medicare Part B to pay for this service. Which of the following would disqualify Susan from being eligible to be covered for these services? She requires skilled care on an intermittent basis She is under the care of her doctor She will be able to leave the house for small errands She will have a face-to-face encounter with her doctor prior to being discharged home 6. Which term describes your doctor, provider, or supplier agreeing to accept the Medicare-approved amount as full payment for covered services? Creditable Coverage Assignment Copayment Agreement Guaranteed Payout
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