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.
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
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