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[Show more]ABC is a Medicare Advantage (MA) plan sponsor. It would like to use its enrollees' 
protected health information to market non-health related products such as life 
insurance and annuities. To do so it must obtain authorization from the enrollees. Which 
statement best describes the authorization p...
Preview 2 out of 9 pages
Add to cartABC is a Medicare Advantage (MA) plan sponsor. It would like to use its enrollees' 
protected health information to market non-health related products such as life 
insurance and annuities. To do so it must obtain authorization from the enrollees. Which 
statement best describes the authorization p...
Mr. Davis is 52 years old and has recently been diagnosed with end-stage renal disease 
(ESRD) and will soon begin dialysis. He is wondering if he can obtain coverage under 
Medicare. What should you tell him? - He may sign-up for Medicare at any time 
however coverage usually begins on the fourth m...
Preview 4 out of 35 pages
Add to cartMr. Davis is 52 years old and has recently been diagnosed with end-stage renal disease 
(ESRD) and will soon begin dialysis. He is wondering if he can obtain coverage under 
Medicare. What should you tell him? - He may sign-up for Medicare at any time 
however coverage usually begins on the fourth m...
Mrs. Quinn recently turned 66 and decided after many years of work to begin receiving 
Social Security benefits. Shortly thereafter Mrs. Quinn received a letter informing her 
that she has been automatically enrolled in Medicare Part B. She wants to understand 
what this means. What should you tell ...
Preview 3 out of 18 pages
Add to cartMrs. Quinn recently turned 66 and decided after many years of work to begin receiving 
Social Security benefits. Shortly thereafter Mrs. Quinn received a letter informing her 
that she has been automatically enrolled in Medicare Part B. She wants to understand 
what this means. What should you tell ...
Mr. Zachow has a condition for which three drugs are available. He has tried two but 
had an allergic reaction to them. Only the third drug works for him and it is not on his 
Part D plan's formulary. What could you tell him to do? - Mr. Zachow has a right to 
request a formulary exception to obtai...
Preview 2 out of 9 pages
Add to cartMr. Zachow has a condition for which three drugs are available. He has tried two but 
had an allergic reaction to them. Only the third drug works for him and it is not on his 
Part D plan's formulary. What could you tell him to do? - Mr. Zachow has a right to 
request a formulary exception to obtai...
Mr. Xi will soon turn age 65 and has come to you for advice as to what services are 
provided under Original Medicare. What should you tell Mr. Xi that best describes the 
health coverage provided to Medicare beneficiaries? 
a. Medicare Part B generally provides prescription drug coverage. 
b. Benef...
Preview 4 out of 45 pages
Add to cartMr. Xi will soon turn age 65 and has come to you for advice as to what services are 
provided under Original Medicare. What should you tell Mr. Xi that best describes the 
health coverage provided to Medicare beneficiaries? 
a. Medicare Part B generally provides prescription drug coverage. 
b. Benef...
Mrs. Chen will be 65 soon, has been a citizen for twelve years, has been employed full 
time, and paid taxes during that entire period. She is concerned that she will not qualify 
for coverage under part A because she was not born in the United States. What should 
you tell her? 
Choose one answer. ...
Preview 2 out of 5 pages
Add to cartMrs. Chen will be 65 soon, has been a citizen for twelve years, has been employed full 
time, and paid taxes during that entire period. She is concerned that she will not qualify 
for coverage under part A because she was not born in the United States. What should 
you tell her? 
Choose one answer. ...
Mr. Lopez has heard that he can sign up for a product called "Medicare Advantage" but 
is not sure about what type of plan designs are available through this program. What 
should you tell him about the types of health plans that are available through the 
Medicare Advantage program? - c. They are...
Preview 1 out of 4 pages
Add to cartMr. Lopez has heard that he can sign up for a product called "Medicare Advantage" but 
is not sure about what type of plan designs are available through this program. What 
should you tell him about the types of health plans that are available through the 
Medicare Advantage program? - c. They are...
CHEN will be 65 soon, has been a citizen for twelve years, has been employed full time, 
and paid taxes during that entire period. She is concerned that she will not qualify for 
coverage under Part A because she was not born in the US. 
(Medicare Entitlement Part A) - Most individuals who are citiz...
Preview 2 out of 5 pages
Add to cartCHEN will be 65 soon, has been a citizen for twelve years, has been employed full time, 
and paid taxes during that entire period. She is concerned that she will not qualify for 
coverage under Part A because she was not born in the US. 
(Medicare Entitlement Part A) - Most individuals who are citiz...
Mr. Jacob understands that there is a standard Medicare Part D prescription drug 
benefit, but when he looks at information on various plans available in his area, he sees 
a wide range in what they charge for deductibles, premiums, and cost sharing. How can 
you explain this to him? - Part D plans ...
Preview 1 out of 4 pages
Add to cartMr. Jacob understands that there is a standard Medicare Part D prescription drug 
benefit, but when he looks at information on various plans available in his area, he sees 
a wide range in what they charge for deductibles, premiums, and cost sharing. How can 
you explain this to him? - Part D plans ...
Mr. Bauer is 49 years old, but eighteen months ago he was declared disabled by the 
Social Security Administration and has been receiving disability payments. He is 
wondering whether he can obtain coverage under Medicare. What should you tell him? - 
After receiving such disability payments for 24 ...
Preview 2 out of 15 pages
Add to cartMr. Bauer is 49 years old, but eighteen months ago he was declared disabled by the 
Social Security Administration and has been receiving disability payments. He is 
wondering whether he can obtain coverage under Medicare. What should you tell him? - 
After receiving such disability payments for 24 ...
Mr. Lopez has heard that he can sign up for a product called "Medicare Advantage" but 
is not sure about what type of plan designs are available through this program. What 
should you tell him about the types of health plans that are available through the 
Medicare Advantage program? - They are Me...
Preview 3 out of 27 pages
Add to cartMr. Lopez has heard that he can sign up for a product called "Medicare Advantage" but 
is not sure about what type of plan designs are available through this program. What 
should you tell him about the types of health plans that are available through the 
Medicare Advantage program? - They are Me...
Mr. Carlini has heard that Medicare prescription drug plans are only offered through 
private companies under a program known as Medicare Advantage (MA), not by the 
government. He likes Original Medicare and does not want to sign up for an MA 
product, but he also wants prescription drug coverage. ...
Preview 2 out of 5 pages
Add to cartMr. Carlini has heard that Medicare prescription drug plans are only offered through 
private companies under a program known as Medicare Advantage (MA), not by the 
government. He likes Original Medicare and does not want to sign up for an MA 
product, but he also wants prescription drug coverage. ...
Mr. Ziegler is turning 65 next month and has asked you what he can do, and when he 
must do it, with respect to enrolling in Part D. What could you tell him? - He is 
currently in the Part D Initial Enrollment Period (IEP) and, during this time, he may make 
one Part D enrollment choice, including e...
Preview 1 out of 4 pages
Add to cartMr. Ziegler is turning 65 next month and has asked you what he can do, and when he 
must do it, with respect to enrolling in Part D. What could you tell him? - He is 
currently in the Part D Initial Enrollment Period (IEP) and, during this time, he may make 
one Part D enrollment choice, including e...
Mrs. Walters is entitled to Part A and has medical coverage without drug coverage 
through an employer retiree plan. She is not enrolled in Part B. Since the employer plan 
does not cover prescription drugs, she wants to enroll in a Medicare prescription drug 
plan. Will she be able to? - c. Yes. Mr...
Preview 2 out of 9 pages
Add to cartMrs. Walters is entitled to Part A and has medical coverage without drug coverage 
through an employer retiree plan. She is not enrolled in Part B. Since the employer plan 
does not cover prescription drugs, she wants to enroll in a Medicare prescription drug 
plan. Will she be able to? - c. Yes. Mr...
Mr. Prentice has many clients who are Medicare beneficiaries. He should review the 
Centers for Medicare & Medicaid Services' Marketing Guidelines to ensure he is 
compliant for which type of products? - c. Medicare Advantage (MA) and 
Prescription Drug (PDP) plans Correct 
Another agent working fo...
Preview 2 out of 9 pages
Add to cartMr. Prentice has many clients who are Medicare beneficiaries. He should review the 
Centers for Medicare & Medicaid Services' Marketing Guidelines to ensure he is 
compliant for which type of products? - c. Medicare Advantage (MA) and 
Prescription Drug (PDP) plans Correct 
Another agent working fo...
Mrs. Turner is comparing her employer's retiree insurance to Original Medicare and 
would like to know which of the following services Original Medicare will cover if the 
appropriate criteria are met? What could you tell her? - c. Original Medicare covers 
ambulance services. 
Madeline Martinez wa...
Preview 1 out of 4 pages
Add to cartMrs. Turner is comparing her employer's retiree insurance to Original Medicare and 
would like to know which of the following services Original Medicare will cover if the 
appropriate criteria are met? What could you tell her? - c. Original Medicare covers 
ambulance services. 
Madeline Martinez wa...
2x sold
Mr. Shapiro gets by on a very small amount of fixed income. He has heard there may be 
extra help paying for Part D prescription drugs for Medicare beneficiaries with limited 
income. He wants to know whether he might qualify. What should you tell him? - c. 
The extra help is available to beneficiar...
Preview 2 out of 8 pages
Add to cartMr. Shapiro gets by on a very small amount of fixed income. He has heard there may be 
extra help paying for Part D prescription drugs for Medicare beneficiaries with limited 
income. He wants to know whether he might qualify. What should you tell him? - c. 
The extra help is available to beneficiar...
One of your clients, Lauren Nichols, has heard about a Medicare concept from one of 
her neighbors called TrOOP. She asks you to explain it. What do you say? - d. 
TrOOP stands for true out-of-pocket expenses that count toward the Medicare Part D 
catastrophic limit and include not only expenses pai...
Preview 1 out of 4 pages
Add to cartOne of your clients, Lauren Nichols, has heard about a Medicare concept from one of 
her neighbors called TrOOP. She asks you to explain it. What do you say? - d. 
TrOOP stands for true out-of-pocket expenses that count toward the Medicare Part D 
catastrophic limit and include not only expenses pai...
Mrs. Paterson is concerned about the deductibles and co-payments associated with 
Original Medicare. What can you tell her about Medigap as an option to address this 
concern? - Medigap plans help beneficiaries cover Original Medicare benefits, but 
they coordinate with Original Medicare coverage. 
...
Preview 2 out of 5 pages
Add to cartMrs. Paterson is concerned about the deductibles and co-payments associated with 
Original Medicare. What can you tell her about Medigap as an option to address this 
concern? - Medigap plans help beneficiaries cover Original Medicare benefits, but 
they coordinate with Original Medicare coverage. 
...
Ms. Moore plans to retire when she turns 65 in a few months. She is in excellent health 
and will have considerable income when she retires. 
She is concerned that her income will make it impossible for her to qualify for Medicare. 
What could you tell her to address her concern? - Medicare is a pro...
Preview 4 out of 47 pages
Add to cartMs. Moore plans to retire when she turns 65 in a few months. She is in excellent health 
and will have considerable income when she retires. 
She is concerned that her income will make it impossible for her to qualify for Medicare. 
What could you tell her to address her concern? - Medicare is a pro...
Mr. Davis is 52 years old and has recently been diagnosed with end-stage renal disease 
(ESRD) and will soon begin dialysis. He is wondering if he can obtain coverage under 
Medicare. What should you tell him? - He may sign-up for Medicare at any time 
however coverage usually begins on the fourth m...
Preview 3 out of 23 pages
Add to cartMr. Davis is 52 years old and has recently been diagnosed with end-stage renal disease 
(ESRD) and will soon begin dialysis. He is wondering if he can obtain coverage under 
Medicare. What should you tell him? - He may sign-up for Medicare at any time 
however coverage usually begins on the fourth m...
Mrs. Quinn recently turned 66 and decided after many years of work to begin receiving 
Social Security benefits. Shortly thereafter Mrs. Quinn received a letter informing her 
that she has been automatically enrolled in Medicare Part B. She wants to understand 
what this means. What should you tell ...
Preview 3 out of 18 pages
Add to cartMrs. Quinn recently turned 66 and decided after many years of work to begin receiving 
Social Security benefits. Shortly thereafter Mrs. Quinn received a letter informing her 
that she has been automatically enrolled in Medicare Part B. She wants to understand 
what this means. What should you tell ...
Mr. Zachow has a condition for which three drugs are available. He has tried two but 
had an allergic reaction to them. Only the third drug works for him and it is not on his 
Part D plan's formulary. What could you tell him to do? - Mr. Zachow has a right to 
request a formulary exception to obtai...
Preview 2 out of 9 pages
Add to cartMr. Zachow has a condition for which three drugs are available. He has tried two but 
had an allergic reaction to them. Only the third drug works for him and it is not on his 
Part D plan's formulary. What could you tell him to do? - Mr. Zachow has a right to 
request a formulary exception to obtai...
Mr. Bauer is 49 years old, but eighteen months ago he was declared disabled by the 
Social Security Administration and has been receiving disability payments. He is 
wondering whether he can obtain coverage under Medicare. What should you tell him? - 
After receiving such disability payments for 24 ...
Preview 2 out of 15 pages
Add to cartMr. Bauer is 49 years old, but eighteen months ago he was declared disabled by the 
Social Security Administration and has been receiving disability payments. He is 
wondering whether he can obtain coverage under Medicare. What should you tell him? - 
After receiving such disability payments for 24 ...
Mr. Bauer is 49 years old, but eighteen months ago he was declared disabled by the 
Social Security Administration and has been receiving disability payments. He is 
wondering whether he can obtain coverage under Medicare. What should you tell him? - 
After receiving such disability payments for 24 ...
Preview 2 out of 15 pages
Add to cartMr. Bauer is 49 years old, but eighteen months ago he was declared disabled by the 
Social Security Administration and has been receiving disability payments. He is 
wondering whether he can obtain coverage under Medicare. What should you tell him? - 
After receiving such disability payments for 24 ...
Mr. Lopez has heard that he can sign up for a product called "Medicare Advantage" but 
is not sure about what type of plan designs are available through this program. What 
should you tell him about the types of health plans that are available through the 
Medicare Advantage program? - c. They are...
Preview 1 out of 4 pages
Add to cartMr. Lopez has heard that he can sign up for a product called "Medicare Advantage" but 
is not sure about what type of plan designs are available through this program. What 
should you tell him about the types of health plans that are available through the 
Medicare Advantage program? - c. They are...
Mrs. Chen will be 65 soon, has been a citizen for twelve years, has been employed full 
time, and paid taxes during that entire period. She is concerned that she will not qualify 
for coverage under part A because she was not born in the United States. What should 
you tell her? 
Choose one answer. ...
Preview 2 out of 5 pages
Add to cartMrs. Chen will be 65 soon, has been a citizen for twelve years, has been employed full 
time, and paid taxes during that entire period. She is concerned that she will not qualify 
for coverage under part A because she was not born in the United States. What should 
you tell her? 
Choose one answer. ...
CHEN will be 65 soon, has been a citizen for twelve years, has been employed full time, 
and paid taxes during that entire period. She is concerned that she will not qualify for 
coverage under Part A because she was not born in the US. 
(Medicare Entitlement Part A) - Most individuals who are citiz...
Preview 2 out of 5 pages
Add to cartCHEN will be 65 soon, has been a citizen for twelve years, has been employed full time, 
and paid taxes during that entire period. She is concerned that she will not qualify for 
coverage under Part A because she was not born in the US. 
(Medicare Entitlement Part A) - Most individuals who are citiz...
Ms. Moore plans to retire when she turns 65 in a few months. She is in excellent health 
and will have considerable income when she retires. She is concerned that her income 
will make it impossible for her to qualify for Medicare. What could you tell her to address 
her concern? - Medicare is a pro...
Preview 4 out of 35 pages
Add to cartMs. Moore plans to retire when she turns 65 in a few months. She is in excellent health 
and will have considerable income when she retires. She is concerned that her income 
will make it impossible for her to qualify for Medicare. What could you tell her to address 
her concern? - Medicare is a pro...
Mr. Lopez has heard that he can sign up for a product called "Medicare Advantage" but 
is not sure about what type of plan designs are available through this program. What 
should you tell him about the types of health plans that are available through the 
Medicare Advantage program? - They are Me...
Preview 3 out of 27 pages
Add to cartMr. Lopez has heard that he can sign up for a product called "Medicare Advantage" but 
is not sure about what type of plan designs are available through this program. What 
should you tell him about the types of health plans that are available through the 
Medicare Advantage program? - They are Me...
Mr. Carlini has heard that Medicare prescription drug plans are only offered through 
private companies under a program known as Medicare Advantage (MA), not by the 
government. He likes Original Medicare and does not want to sign up for an MA 
product, but he also wants prescription drug coverage. ...
Preview 2 out of 5 pages
Add to cartMr. Carlini has heard that Medicare prescription drug plans are only offered through 
private companies under a program known as Medicare Advantage (MA), not by the 
government. He likes Original Medicare and does not want to sign up for an MA 
product, but he also wants prescription drug coverage. ...
One of your clients, Lauren Nichols, has heard about a Medicare concept from one of 
her neighbors called TrOOP. She asks you to explain it. What do you say? - d. 
TrOOP stands for true out-of-pocket expenses that count toward the Medicare Part D 
catastrophic limit and include not only expenses pai...
Preview 1 out of 4 pages
Add to cartOne of your clients, Lauren Nichols, has heard about a Medicare concept from one of 
her neighbors called TrOOP. She asks you to explain it. What do you say? - d. 
TrOOP stands for true out-of-pocket expenses that count toward the Medicare Part D 
catastrophic limit and include not only expenses pai...
Mr. Sinclair has diabetes and heart trouble and is generally satisfied with the care he 
has received under Original Medicare, but he would like to know more about Medicare 
Advantage Special Needs Plans (SNPs). What could you tell him? - a. SNPs have 
special programs for enrollees with chronic con...
Preview 1 out of 3 pages
Add to cartMr. Sinclair has diabetes and heart trouble and is generally satisfied with the care he 
has received under Original Medicare, but he would like to know more about Medicare 
Advantage Special Needs Plans (SNPs). What could you tell him? - a. SNPs have 
special programs for enrollees with chronic con...
A Medicare beneficiary has walked into your office and requested that you sit down with 
her and discuss her options under the Medicare Advantage program. Before engaging 
in such a discussion, what should you do? - c. You must have her sign a scope of 
appointment form, indicating which products sh...
Preview 1 out of 3 pages
Add to cartA Medicare beneficiary has walked into your office and requested that you sit down with 
her and discuss her options under the Medicare Advantage program. Before engaging 
in such a discussion, what should you do? - c. You must have her sign a scope of 
appointment form, indicating which products sh...
A Medicare beneficiary has walked into your office and requested that you sit down with 
her and discuss her options under the Medicare Advantage program. Before engaging 
in such a discussion, what should you do? - You must have her sign a scope of 
appointment form, indicating which products she w...
Preview 2 out of 7 pages
Add to cartA Medicare beneficiary has walked into your office and requested that you sit down with 
her and discuss her options under the Medicare Advantage program. Before engaging 
in such a discussion, what should you do? - You must have her sign a scope of 
appointment form, indicating which products she w...
ABC is a Medicare Advantage (MA) plan sponsor. It would like to use its enrollees' 
protected health information to market non-health related products such as life 
insurance and annuities. To do so it must obtain authorization from the enrollees. Which 
statement best describes the authorization p...
Preview 2 out of 9 pages
Add to cartABC is a Medicare Advantage (MA) plan sponsor. It would like to use its enrollees' 
protected health information to market non-health related products such as life 
insurance and annuities. To do so it must obtain authorization from the enrollees. Which 
statement best describes the authorization p...
Ms. Moore plans to retire when she turns 65 in a few months. She is in excellent health 
and will have considerable income when she retires. 
She is concerned that her income will make it impossible for her to qualify for Medicare. 
What could you tell her to address her concern? - Medicare is a pro...
Preview 4 out of 47 pages
Add to cartMs. Moore plans to retire when she turns 65 in a few months. She is in excellent health 
and will have considerable income when she retires. 
She is concerned that her income will make it impossible for her to qualify for Medicare. 
What could you tell her to address her concern? - Medicare is a pro...
Mrs. Paterson is concerned about the deductibles and co-payments associated with 
Original Medicare. What can you tell her about Medigap as an option to address this 
concern? - Medigap plans help beneficiaries cover coinsurance, co-payments, 
and/or deductibles for medically necessary services. 
Mr...
Preview 2 out of 5 pages
Add to cartMrs. Paterson is concerned about the deductibles and co-payments associated with 
Original Medicare. What can you tell her about Medigap as an option to address this 
concern? - Medigap plans help beneficiaries cover coinsurance, co-payments, 
and/or deductibles for medically necessary services. 
Mr...
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