Mr. Schmidt would like to plan for retirement and has asked you what is
covered under Original Fee-for-Service (FFS) Medicare? What could you tell
him? Correct Answer- d. Part A, which covers hospital, skilled nursing facility,
hospice and home health services and Part B, which covers professional
services such as those provided by a doctor are covered under Original
Medicare. Correct
Mr. Capadona would like to purchase a Medicare Advantage (MA) plan and a
Medigap plan to pick up costs not covered by that plan. What should you tell
him? Correct Answer- b. It is illegal for you to sell Mr. Capadona a Medigap
plan if he is enrolled in an MA plan, and besides, Medigap only works with
Original Medicare. Correct
What impact, if any, will the Medicare Access and CHIP Reauthorization Act of
2015 (MACRA) have upon Medigap plans? Correct Answer- d. The Part B
deductible will no longer be covered for individuals newly eligible for
Medicare starting January 1, 2020. Correct
Mr. Diaz continued working with his company and was insured under his
employer's group plan until he reached age 68. He has heard that there is a
premium penalty for those who did not sign up for Part B when first eligible
and wants to know how much he will have to pay. What should you tell him?
Correct Answer- b. Mr. Diaz will not pay any penalty because he had
continuous coverage under his employer's plan. Correct
Mrs. Peňa is 66 years old, has coverage under an employer plan and will
retire next year. She heard she must enroll in Part B at the beginning of the
year to ensure no gap in coverage. What can you tell her? Correct Answer- d.
She may enroll at any time while she is covered under her employer plan,
but she will have a special eight-month enrollment period that differs from
the standard general enrollment period, during which she may enroll in
Medicare Part B. Correct
Mrs. Kelly, age 65, is entitled to Part A, but has not yet enrolled in Part B. She
is considering enrollment in a Medicare health plan (Part C). What should you
advise her to do before she will be able to enroll into a Medicare health plan?
Correct Answer- Mrs. Kelly, age 65, is entitled to Part A, but has not yet
enrolled in Part B. She is considering enrollment in a Medicare health plan
(Part C). What should you advise her to do before she will be able to enroll
into a Medicare health plan?
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