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Mrs. West wears glasses and dentures and has enjoyed considerable pain relief from arthritis through acupuncture. She is concerned about whether or not Medicare will cover these items and services. What should you tell her? - correct answer Medicare does not cover acupuncture, or, in general, glasse...

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? - correct answer He may sign-up for Medicare at any time however coverage usually begins on ...

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. ...

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. Wha...

Which of the following requires intent to obtain payment and the knowledge that the actions are wrong? - correct answer Fraud Which of the following is not potentially a penalty for violation of the law or regulation prohibiting fraud, waste and abuse (fwa)? - correct answer Deportation A pers...

Annual Enrollment period (AEP) - correct answer The AEP occurs October 15 through December 7 each year. During this time, all Medicare eligible beneficiaries can enroll in, disenrollment from or change MA,, MA-PD or PDP plans. coverage changes made during the AEP are effective January 1 of the follo...

Medicare plan means - correct answer A MA plan, MA-PD plan or PDP Subcontractor means - correct answer **An individual or entity that provides services on behalf of a Medicare plan sponsor. This includes individuals and organizations with DIRECT relationship with the plan sponsor or individuals o...

Mr. Wu is eligible for Medicare. He has limited financial resources but failed to qualify for the Part D low-income subsidy. Where might he turn for help with his prescription drug costs? a.Mr. Wu may still qualify for help in paying Part D costs through his State Pharmaceutical Assistance Program....

Willard works as a representative focused on the senior marketplace. What would be considered prohibited activity by Willard? - correct answer Implying that only seniors can enroll in a Medicare Advantage plan when meeting with Mr. Hernandez, who is 58 but qualifies for Medicare because he is disabl...

Mrs. Margolis contacts you in August because she will become eligible for Medicare for the first time in November. She would like to meet and discuss plan choices with you. What advice should you give her? - correct answer Tell her to wait until October to discuss plan choices with you so that you c...

What impact, if any, have recent regulatory changes had upon Medigap plans? A. The Part A deductible is no longer covered under Medigap plans for all enrollees starting January 1, 2020. B. The Part A deductible is no longer covered for individuals newly eligible for Medicare starting January 1, 20...

Ms. Gibson recently lost her employer group health and drug coverage and now she wants to enroll in a PPO that does not include drug coverage. What should you tell her about obtaining drug coverage? - correct answer She can enroll in the PPO, but she will not be able to purchase a stand-alone Medica...

Medicare - correct answer Parts A & B, Original Medicare Supplement - correct answer Medicare Supplement, Medigap Advantage - correct answer Medicare Advantage, MA, MAPD Part D - correct answer Part of MAPD OR Stand-alone PDP Pre-Medicare - correct answer Under 65, Individual and Family,...