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AHIP 2024 LATEST UPDATE
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2. 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?
2. Mrs. Wolf wears glasses and dentures and has enjoyed considerable pain relief from arthritis thro...
Medicare does not cover acupuncture, or, in general, glasses or dentures.
4. Mr. Shultz was still working when he first qualified for Medicare. At that time, he had employer group coverage that was creditable. During his initial Part D eligibility period, he decided not to enroll because he was satisfied with his drug coverage. It is now a year later and Mr. Shultz has lost his employer group coverage. How would you advise him?
4. Mr. Shultz was still working when he first qualified for Medicare. At that time, he had employer ...
Mr. Schultz should enroll in a Part D plan before he has a 63-day break in coverage in order to avoid a premium penalty.
6. Mrs. Berkowitz wants to enroll in a Medicare Advantage plan that does not include drug coverage and also enroll in a stand-alone Medicare prescription drug plan. Under what circumstances can she do this?
6. Mrs. Berkowitz wants to enroll in a Medicare Advantage plan that does not include drug coverage a...
If the Medicare Advantage plan is a Private Fee-for-Service (PFFS) plan that does not offer drug coverage or a Medical Savings Account, Mrs. Berkowitz can do this.
8. Mr. Lopez takes several high cost prescription drugs. He would like to enroll in a standalone Part D prescription drug plan that is available in his area. In what type of Medicare Health Plan can he enroll
8. Mr. Lopez takes several high cost prescription drugs. He would like to enroll in a standalone Par...
Private Fee-for-Service (PFFS) plan that does not include drug coverage.
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?
Mr. Diaz continued working with his company and was insured under his employer's group plan until h...
The penalty will be a permanent 10% increase in his Part B premium for every 12-month period that passed during which he could have enrolled and did not.
Mrs. Park is an elderly retiree. Mrs. Park has a low fixed income. What could you tell Mrs. Park that might be of assistance?
Mrs. Park is an elderly retiree. Mrs. Park has a low fixed income. What could you tell Mrs. Park tha...
She should contact her state Medicaid agency to see if she qualifies forprograms that can help with Medicare costs for which she is responsible
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?
Mr. Davis is 52 years old and has recently been diagnosed with end-stage renal disease (ESRD) and wi...
He may sign-up for Medicare at any time however coverage usually begins on the fourth month after dialysis treatments start.
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?
Mrs. Peňa is 66 years old, has coverage under an employer plan, and will retire next year. She hear...
She may enroll at any time while she is covered under her employer plan, but she will have a special eight-month enrollment period after the last month on her employer plan that differs from the standard general enrollment period, during which she may enroll in Medicare Part B.
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