1. Mr. Garcia was told he qualifies for a Special Enrollment Period (SEP), buthe lost the paper that explains what he could do during the SEP.What can youtell him? Answer: If the SEP is for MA cover ... age, he will generally have one opportunity to change his MA coverage. 2. Mrs. Walters is entitled to Part A and has medical coverage without drug coverage through an employer retiree plan.She is not enrolled in Part B.Sincethe employer plan does not cover prescription drugs,she wants to enroll in aMedicare prescription drug plan.Will she be able to? Answer: Yes.Mrs.Walters must beentitled to Part A or enrolled in Part B to be eligible for coverage under the Medicareprescription drug program. 3. Mrs.Goodman enrolled in an MA-PD plan during the Annual Election Period.In mid-January of the following year, she wants to switch back to Original Medicare and enroll in a stand-alone prescription drug plan.What should youtell her? Answer: During the MA Open Enrollment Period, from January 1 - March 31, she may disenroll from the MA-PD plan into Original Medicare and also may add a stand-alone prescription drug plan. 4. Mrs. Berkowitz wants to enroll in a Medicare Advantage plan that does not include drug coverage and also enroll in a stand-alone Medicare prescription drug plan. Under what circumstances can she do this? Answer: If the Medicare Advantage plan is a Private Fee-for-Service (PFFS) plan that does not offer drug coverageor a Medical Savings Account plan, Mrs. Berkowitz can do this. 5. Ms. Lee is enrolled in an MA-PD plan but will be moving out of the plan's service area next month. She is worried that she will not be able to enroll in another plan available in her new residence until the Annual Election Period.Whatshould you tell her? Answer: She is eligible for a Special Election Period that beginseitherthe month before her permanent move, if the plan is notified in advance, or themonth she provides notice of the move, and this period typically lasts an additionaltwo months [Show More]
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