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 obtaincoverage
under Medicare. What should you tell him? - After receiving such disability payments for 24 months, he will
be automatically enrolled in Medicare, regardless of age
Mrs. Geisler's neighbor told her she should look at her Part D options during the annual Medicareenrollment
period because features of Part D might have changed. Mrs. Geisler can't remember what Part D is so she
called you to ask what her neighbor was talking about. What could you tell her? - Part D covers prescription
drugs & she should look at her premiums, formulary, & cost sharing among other factors to see if they have
changed
Mr. Davis is 52 years old and has recently been diagnosed with end-stage renal diease (ESRD) andwill soon
begin dialysis. He is wondering if he can obtain coverage under Medicare. What should you tell him? - He
may sign up for Medicare at any time however coverage usually begins on the fourth month after dialysis
treatments start
Mr. Xi will soon turn age 65 and has come to you for advice as to what services are provided underOriginal
Medicare. What should you tell Mr. Xi that best describes the health coverage provided to Medicare
beneficiaries? - Beneficiaries under Original Medicare have no cost-sharing for most preventive services
which inc. immunizations such as annual flu shots
Madeline Martinez was widowed several years ago. Her husband worked for many years and contributed
into the Medicare system. He also left a substantial estate which provides Madeline w/an annual income of
approx. $130,000. Madeline, who has only worked part-time for the last 3 years, will soon turn age 65 and
hopes to enroll in Original Medicare. She comes to you for advice. What should you tell her? - You should tell
Madeline that she will be able to enroll in Medicare PartA w/out paying monthly premiums due to her
husband's long work record & participation in the Medicare system. You should also tell Madeline that she
will pay Part B premiums at more than the standard lowest rate but less than the highest rate due to her
substantial income
Ms. Moore plans to retire when she turns 65 in a few months. She is in excellent health and will have
considerable income when she retires. She is concerned that her income will make it impossible for her to
qualify for Medicare. What could you tell her to address her concern? - Medicare is a program for people age
65 or older & those under age 65 w/ certain disabilities, end-stage renal disease, & Lou Gehrig's disease so
she will be eligible for Medicar
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