Question

13. To join a Medicare Advantage Plan you must meet the following eligibility requirements.

Belong to several plans at your discretion

Be enrolled in Medicare Part A

Be enrolled in Medicare Part D

Live in or just outside of the plans service area

14. Tier 1 drugs are generic drugs and are the same as their brand-name counterparts in safety, strength, quality, the way they work how they’re taken, and the way they should be used.

True

False

15. By law, Medicare does not cover which drugs?

Cancer Medications

Antidepressants

Prescription vitamin and mineral products

Immunosuppressants

16. By law, Medicare does not cover which drugs?

Cancer Medications

Antidepressants

Prescription vitamin and mineral products

Immunosuppressants

17. If you’re already getting Social Security benefits, you’ll be automatically enrolled in Medicare Part A and Part B without an additional application.

True

False

18. Which statement about Medicare is accurate?

It is a health insurance program for people aged 60 and older

People of any age who have End-Stage Renal Disease (ESRD) are eligible

It is administered by each state individually

It covers prescription drugs only

19. Which of the following is accurate when considering Part D Eligibility Requirements?

Medicare drug coverage is automatic

You can be a member of more than one Medicare drug plan at a time

You must have Medicare Part A and/or Part B to join a Medicare Prescription Drug Plan

You are permitted to enroll while living outside the US and its territories

20. Which of the following is correct?

Part A is Hospital Insurance

Part B is Medicare Prescription Drug Coverage

Part C is Medical Insurance

Part D is Medicare Advantage Plans (like HMO’s and PPO’s)

21. John was admitted to a Skilled Nursing Facility and has been receiving Physical and Occupational Therapy five times a week. Both his therapists agree he has reached his maximum potential and will no longer have a skilled need. His family disagrees and believes he needs more therapy. What are the options for John and his family?

They have the right to appeal

They must take John home before they feel he is ready

They must pay out of their own pocket for John to remain on therapy

They will continue to utilize John’s Medicare benefits after his skilled therapy ends

Answer 1

13. The answer is ------ Be enrolled in Medicare Part A.

To be eligible for Part C also called Medicare advantage plane , one must be enrolled in for the initial Part A of the Medicare plan which has eligibility criteria like People of 65 years or older, renal impairment of any age and disabilities. This includes Part A which is hospital insurance and Part B which includes medical insurance along with Part D which includes Prescription drugs and also dental procedures.

14. The answer is ------- True.

Tier 1 drugs are the generic drugs which has same drug composition and quantity of chemical composition when compared to its brand counterparts. This helps in cheaper drugs with same effects of brand drugs.

15 . The answer is --------- Prescription vitamin and mineral products.

Medicare do not cover some drugs and vitamin and mineral supplements are one among them but prenatal vitamins are covered. Cosmetic drugs, medications for flu, cough too are not covered. While the other options listed like antidepressants, Immunosuppresants and cancer medications are covered.

16. The answer is ---------- Prescription vitamin and mineral products.

Same as 15 . Please refer 15 explanation.

17. The answer is ---------- True.

If you are getting social security benefits which is for people who have worked in Government sector , railways, paramilitary, military services for a specified period of time you are eligible for medicare Part A and Part B. Even the spouse and a child of the person who has worked will be eligible.

18. The answer is ----------- People of any age who have end stage renal disease are eligible.

End stage renal disease which requires dialysis frequently or transplantation of any age is eligible for medicare . While other options mentioned are not eligible as people of 65 years and older comes under eligibility criteria and it is not given to all individuals and drug coverage is in Part D of medicare.

Thank you.