Mrs. West wears glasses and dentures and has enjoyed considerable pain
relief from arthritis through acupuncture. She is concerned about whether or
not
... [Show More] Medicare will cover these items and services. What should you tell her?
Correct ans - Medicare does not cover acupuncture, or, in general, glasses
or dentures.
Mr. Bickford did not quite qualify for the extra help low-income subsidy under
the Medicare Part D Prescription Drug program and he is wondering if there is
any other option he has for obtaining help with his considerable drug costs.
What should you tell him? Correct ans - He could check with the
manufacturers of his medications to see if they offer an assistance program
to help people with limited means obtain the medications they need.
Alternatively, he could check to see whether his state has a pharmacy
assistance program to help him with his expenses.
Mr. Lombardi is interested in a Medicare Advantage (MA) PPO plan that you
represent. It is one of three plans operated by the same organization in Mr.
Lombardi's area. The MA PPO plan does not include drug coverage, but the
other two plans do. Mr. Lombardi likes the PPO plan that does not include
drug coverage and intends to obtain his drug coverage through a standalone Medicare prescription drug plan. What should you tell him about this
situation? Correct ans - He could enroll in one of the MA plans that
include prescription drug coverage or a Medigap plan and a stand-alone
prescription drug plan, but he cannot enroll in the MA-only PPO plan and a
stand-alone prescription drug plan.
Mr. Torres has a small savings account. He would like to pay for his monthly
Part D premiums with an automatic monthly withdrawal from his savings
account until it is exhausted, and then have his premiums withheld from his
Social Security check. What should you tell him? Correct ans - In
general, he must select a single Part D premium payment mechanism that
will be used throughout the year.
Agent Jennings makes a presentation on Medicare advertised as an
educational event. Agent Jennings distributes materials that are solely
educational in nature. However, she gives a brief presentation that mentions
plan-specific premiums. Is this a prohibited activity at an event that has been
advertised as educational? Correct ans - Yes. When an event has been
advertised as "educational," discussing plan-specific premiums is
impermissible. [Show Less]