Mr. Bauer is 49 years old, but eighteen months ago he was declared disabled by the
Social Security Administration and has been receiving disability
... [Show More] payments. He is
wondering whether he can obtain coverage under Medicare. What should you tell
him? - After receiving such disability payments for 24 months, he will be
automatically enrolled in Medicare, regardless of age.
Mrs. Pena is 66 years old, has coverage under an employer plan and will retire next
year. she heard she must enroll in part B at the beginning of the year to ensure no
gap in coverage. What can you tell her? - She may enroll ay any time while she is
covered under her employer plan, but she will have a special eight-month
enrollment period after the last month on her employer plan that differs from the
standard general enrollment period, during which she may enroll in Medicare Part
B
Mr. Schmidt would like to plan for retirement and has asked you what is covered
under Original Fee-for-Service (FFS) Medicare? What could you tell him? - Part
A, which covers hospital, skilled nursing facility, hospice, and home health service
and Part B, which covers professional services such as those provided by a doctor
are covered under Original Medicare
Mr. Patel is in good health and is preparing a budget in anticipation of his
retirement when he turns 66. He wants to understand the health care costs he might
be exposed to under Medicare if he were to require hospitalization as a result of an
illness. In general terms, what could you tell him about his costs for inpatient
hospital services under Original Medicare? - Under Original Medicare, there is a
single deductible amount due for the first 60 days of any inpatient hospital stay,
after which it converts into a per-day coinsurance amount through day 90. After
day90, he would pay a daily amount up to 60 days over this lifetime, after which
he would be responsible for all costs
Mrs. Park is an elderly retiree. Mrs. Park has a low fixed income. What could you
tell Mrs. Park that might be of assistance? - She should contact her state Medicaid
agency to see if she qualifies for one of several programs that can help with
Medicare costs for which she is responsible [Show Less]