Question

Mr. Romero is 64, retiring soon, and considering enrollment in his employer-sponsored retiree group health plan that includes drug coverage with nominal copays. He heard about a neighbor’s MA-PD plan that you represent and because he takes numerous prescription drugs, he is considering signing up for it. What should you tell him?

Answer 1

Explanation:

I would consider researching the fine print..usually, regardless of your Medicare representative, it never hurts to double check info. Since Medicare coverage changes by the minute. the laws are always changing, hence, if you know sumone in med. billing, this is usually your best resource for info...

Answer 2

Answer:

D

a. Generally, employers prefer retirees to enroll in a stand-alone PDP, so he should consider that instead of the MA-PD.  

b. Generally, employers prefer retirees to have both the retiree group plan and the MA-PD plan to fill in the gaps, but he would be better off with just the MA-PD plan.  

c. When possible, it is always the best option to have both the employer’s plan and the MA-PD, so he would have no out-of-pocket expenses.  

d. Beneficiaries should check with their employer or union group benefits administrator before changing plans to avoid losing the coverage they want to keep.

Explanation: