1. Mr. Moy's wife has a Medicare Advantage plan, but he wants to under- stand
what coverage Medicare Supplemental Insurance provides since his health care
needs are different from his wife's needs.What could you tell Mr.Moy?
Answer: Medicare Supplemental Insurance would help cover his Part A and Part B
deductibles or coinsurance in Original Fee-for-Service (FFS) Medicare as well as
possibly some services that Medicare does not cover.
2. Mildred Savage enrolled in Allcare Medicare Advantage plan several yearsago.
Mildred recently learned thatshe is suffering from inoperable cancer andhas just a
few months to live. She would like to spend these final months in hospice care.
Mildred's family asks you whether hospice benefits will be paidfor under the Allcare
Medicare Advantage plan.Whatshould you say?
Answer: Mildredmay remain enrolled in Allcare and make a hospice election.
Hospice benefits will be paid for by Original Medicare under Part A and Allcare
will continue to pay for any non-hospice services.
3. 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. Sheis concerned that her
income will make it impossible for her to qualify forMedicare.What could you tell
her to address her concern?
Answer: Medicare is a program for people age 65 or older and those under age 65
with certain disabilities,end-stage renal disease, and Lou Gehrig's disease so she
will be eligible for Medicare.
4. 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 concernedthatshe
will not qualify for coverage under part A because she was not born inthe United
States. What should you tell her?
Answer: Most individuals who are citizens and age 65 or over are covered under
Part A by virtue of having paid Medicare taxes while working, though some may be
covered as a result of paying monthly premiums.
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