Mr. Katz reached the Part D coverage gap in August last year. His prescriptions have not
changed, he is keeping the same Part D plan and the benefits, cost-sharing, and coverage of his
drugs are all the same as last year. He asked what to expect for this year about his out-of-pocket
costs. What could you tell him?
Choose one a. Because he reached the coverage gap last year, he will probably reach
it again this answer. year close to the same time.
b. Because he reached the coverage gap last year, he will not have to go
through it again this year.
c. Because he reached the coverage gap in August last year, he probably
won’t reach it until much later this year.
d. Because he reached the coverage gap in August last year, he probably
will reach it much earlier this year.
2
Marks: 1
During a sales presentation in Ms. Sullivan’s home, she tells you that she has heard about a
type of Medicare health plan known as Private Fee-for-Service (PFFS). She wants to know if this
would be available to her.
What should you tell her about PFFS plans?
Choose one a. A PFFS plan is exactly the same as Original Medicare, only offered by
a private answer. entity and she may enroll in one if it is available in her area.
b. A PFFS plan is a type of Medicare Supplement plan and she may enroll
in one if it is available in her area.
c. PFFS plans are designed to cover only prescription drugs and if that is
the type of coverage she wants, she may enroll in one if it is available in
her area.
d. A PFFS plan is one of various types of Medicare Advantage plans offered
by private entities and she may enroll in one if it is available in her area.
3
Marks: 1
This year you have decided to focus your efforts on marketing to employer group plans. One
employer provides you with a list of their retirees and asks you to contact them to explain the
characteristics of the plan they have selected. What should you do?
1/18
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