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....
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.
a. Most individuals who are citizens and over age 65 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.
b. Most individuals who are citizens and over age 65 and wish to be covered under Part A must enroll in
a Medicare Health Plan.
c. Most individuals who are citizens and over age 65 and are covered under Part A must pay a monthly
premium for that coverage.
d. All individuals who are citizens and over age 65 will be covered under Part A. - ANSWER a. Most
individuals who are citizens and over age 65 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.
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? - ANSWER d. After receiving such disability
payments for 24 months, he will be automatically enrolled in Medicare, regardless of age.
Mr. Denton 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? - ANSWER a. He may sign-up for Medicare at any time however coverage usually begins on the
fourth month after dialysis treatments start. Correct
Ms. Henderson believes that she will qualify for Medicare coverage when she turns 65, without paying
any premiums, because she has been working for 40 years and paying Medicare taxes. What should you
, tell her? - ANSWER a. In order to obtain Part B coverage, she must pay a standard monthly premium,
though it is higher for individuals with higher incomes. 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? -
ANSWER b. Mr. Diaz will not pay any penalty because he had continuous coverage under his employer's
plan. Correct
Mrs. Quinn has recently turned 66 and decided after many years of work to begin receiving Social
Security benefits. Shortly thereafter Mrs. Quinn and 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 Mrs. Quinn? - ANSWER a. Part B primarily covers physician services. She will be paying a monthly
premium and, with the exception of many preventive and screening tests, generally will have 20% co-
payments for these services, in addition to an annual deductible. Correct
Mr. Buck has several family members who died from different cancers. He wants to know if Medicare
covers cancer screening. What should you tell him? - ANSWER c. Medicare covers periodic performance
of a range of screening tests that are meant to provide early detection of disease. Mr. Buck will need to
check specific tests before obtaining them to see if they will be covered. Correct
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? - ANSWER a. Original Medicare covers ambulance services. Correct
Mrs. Wolf 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? - ANSWER c. Medicare does not cover acupuncture, or, in general, glasses or
dentures. Correct
Mr. Singh would like drug coverage, but does not want to be enrolled into a health plan. What should
you tell him? - ANSWER b. Mr. Singh can enroll in a stand-alone prescription drug plan and continue to
be covered for Part A and Part B services through Original Fee-for-Service Medicare. Correct
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