Mr. Xi will soon turn age 65 and has come to you for advice as to what ser
A A A A A A A A A A A A A A A A A
vices are provided under Original Medicare. What should youtell Mr. Xi t
A A A A A A A A A A A A
hat best describes the health coverage provided to Medicare beneficiari
A A A A A A A A A
es? - CORRECT ANSWER-
A A A
Beneficiaries under Original Medicare have no cost- A A A A A A
sharing for most preventive services
A A A A
Mrs. Quinn recently turned 66 and decided after many years of workto
A A A A A A A A A A A A A
begin receiving Social Security benefits. Shortly thereafter Mrs.
A A A A A A A
Quinn received a letter informing her that she has been automatically en
A A A A A A A A A A A
rolled in Medicare Part B. She wants to understand what this means. Wh
A A A A A A A A A A A A
at should you tell Mrs. Quinn? - CORRECT ANSWER-
A A A A A A A A
APart B primarily covers physician services. She will be paying a monthly
A A A A A A A A A A A A
premium and, except for many preventive screening and tests, generall
A A A A A A A A A
y will have 20 percent co-
A A A A A
payments for these services inaddition to an annual deductible
A A A A A A A A A
Mr. Davis is 52 years old and has recently been diagnosed with end-
A A A A A A A A A A A A
stage renal disease (ESRD) and will soon begin dialysis. He is wonderin
A A A A A A A A A A A A
g if he can obtain coverage under Medicare. What should you tell him?
A A A A A A A A A A A A
A- CORRECT ANSWER-
A A
He may sign up for Medicareat any time however coverage usually be
A A A A A A A A A A A A
gins on the fourth month after dialysis treatment
A A A A A A A
Mr. Alonso receives some help paying for his two generic prescription dr
A A A A A A A A A A A
ugs from his employer's retiree coverage, but he wants to compare it to a
A A A A A A A A A A A A A
APart D prescription drug plan. He asks you what costs he would generall
A A A A A A A A A A A A
y expect to encounter when enrolling into a standard Medicare Part D pr
A A A A A A A A A A A A
escription drug plan. What should you tellhim? - CORRECT ANSWER-
A A A A A A A A A A
He generally would pay a monthly premium, annual deductible, and per
A A A A A A A A A A
-prescription cost sharing. A A
, Ms. Brooks has an aggressive cancer and would like to know if Medicare
A A A A A A A A A A A A A
will cover hospice services in case she needs them. What should you tell h
A A A A A A A A A A A A A
er? - CORRECT ANSWER-
A A A
Medicare covers hospiceservices and they will be available to her.
A A A A A A A A A A
Mrs. Park is an elderly retiree. Mrs. Park has a low fixed income. What
A A A A A A A A A A A A A A
could you tell Mrs. Park that might be of assistance? -
A A A A A A A A A A
ACORRECT ANSWER- A
She should contact her state Medicaid agencyto see if she qualifies for
A A A A A A A A A A A A A
one of several programs that can help with Medicare costs for which she
A A A A A A A A A A A A
is responsible.
A A
Mrs. Duarte is enrolled in Original Medicare Parts A and B. She has rec
A A A A A A A A A A A A A
ently reviewed her Medicare Summary Notice (MSN) and disagrees wit
A A A A A A A A A
h a determination that partially denied one of her claimsfor services. W
A A A A A A A A A A A A
hat advice would you give her? - CORRECT ANSWER-
A A A A A A A A
Mrs. Duarte should file an appeal of this initial determination within 12
A A A A A A A A A A A
0 days of the date she received the MSN in the mail.
A A A A A A A A A A A
Mrs. Chen will be 65 soon, has been a citizen for twelve years, has been
A A A A A A A A A A A A A A A
employed full time, and paid taxes during that entire period. Sheis conc
A A A A A A A A A A A A
erned that she will not qualify for coverage under part A because she w
A A A A A A A A A A A A A
as not born in the United States. What should you tell her? -
A A A A A A A A A A A A
CORRECT ANSWER-
A A
Most individuals who are citizens and age 65 or over are covered under
A A A A A A A A A A A A
Part A by virtue of having paid Medicare taxes while working, though s
A A A A A A A A A A A A A
ome may be covered as a result of paying monthly premiums.
A A A A A A A A A A
Mr. Singh would like drug coverage but does not want to be enrolledin
A A A A A A A A A A A A A A
a Medicare Advantage plan. What should you tell him? -
A A A A A A A A A
CORRECT ANSWER-Mr. Singh can enroll in a stand-
A A A A A A A A
alone prescription drug plan and continue to be covered for Part A and
A A A A A A A A A A A A A
PartB services through Original Fee-for-Service Medicare.
A A A A A A
What impact, if any, have recent regulatory changes had on Medigap
A A A A A A A A A A A
plans? - CORRECT ANSWER-The Part B deductible is no longer
A A A A A A A A A
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Testbankwizard. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $16.49. You're not tied to anything after your purchase.
