1. Mr.Wu is eligible for Medicare. He has limited financial resources but failedto
qualify for the Part D low-income subsidy.Where might he turn for help withhis
prescription drug costs?
Answer: Mr. Wu may still qualify for help in paying Part D costs through his State
Pharmaceutical Assistance Program.
2. Mr. Bauer is 49 years old, but eighteen months ago he was declared dis- abled by
the Social Security Administration and has been receiving disabilitypayments. He is
wondering whether he can obtain coverage under Medicare.Whatshould you tell
him?
Answer: After receiving such disability paymentsfor 24 months,he will be
automatically enrolled in Medicare, regardless of age.
3. 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.
4. 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 tellhim?
Answer: 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.
5. Agent John Miller is meeting with Jerry Smith, a new prospect. Jerry is currently
enrolled in Medicare Parts A and B. Jerry has also purchased a Medicare Supplement
(Medigap) plan which he has had for several years. However, the plan does not
provide drug benefits. How would you advise Agent John Millerto proceed?
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