Ms. Stein retired when she was 66 but did not enroll in Medicare Part B after her group coverage ended because she was healthy and thought her Part A
... [Show More] benefit would cover catastrophic costs. Ms. Stein is now 72 and wants to get {art B because her doctors bill, lab tests and vaccines are getting very expensive. Ms. Stein will have to pay the monthly Part B premium plus an additional 10 percent for each 12 month period since her group coverage ended. This obligation will continue as long as she has Part B unless she qualifies for extra help with her Medicare bills. - Answer Example
Mr. O'Hare, who is 70 and does not have Part B, is retired, but he has health coverage through his wife's current employer. Mr. O'Hare decides to get Part B while the group coverage is in effect or within 8 months after his last month of group coverage, he can do so without incurring a late enrollment penalty. - Answer Example
Ms. Smith wishes to buy a Medigap plan. She became Medicare eligible in June 2019. She tells her agent that she wants the most comprehensive coverage she can get that would also cover emergencies when she travels outside of the United States. Her agent wisely suggests Plan F without a deductible for her. - Answer Example
Mr. Young is interested in switching to a PFFS plan because his primary care physicial (PCP) no longer participates in his HMO. His PCP is not in the PFFS plan's network. Mr. Young should ccall his PCP beford he enrolls to make wure she is willing to see patients enrolled in the PFFS plan. - Answer Example
Mr. Walsh is a Qualified Medicare Beneficiary (QMB). He enrolls in a Medicare Advantage HMO. Mr. Walsh goes to his primary care doctor to receive a Medicare covered service. The normal copayment is $25.00. The doctor may only collect from Mr. Walsh any minimal cost sharing allowable under the state Medicaid program. - Answer Example
Mr. Page is enrolled in a MA PPO. He did nor choose Part D coverage through the PPO. Now he wishes to enroll in a stand-alone PDP. Mr. Page cannot enroll in a PDP because he can only get Part D coverage through his PPO. - Answer Example
Ms. Smith is enrolled in a PDP. She wishes to enroll in an MA MSA plan. Ms. Smith can remain enrolled in her PDP because MSA plans do not offer Part D coverage. - Answer Example [Show Less]