Part A
I have a Medicare Advantage Plan but want to go back to original Medicare. Will I have an extra premium for Part A?
Yes or No
No
If set up on a monthly bank draft long is the rate guarantee with all Washington National Medicare Supplements?
6 Months
This may also include a prescription drug plan?
Medicare Advantage Plan
Availability of Part D plans is based on the _____ of the Medicare Beneficiary.
Zip Code
How much is the Part B Deductible for 2026?
$283
What is the monthly premium for Part A of Medicare in 2026?
0
What are the 2 Emergency Room copays for the Plan N both if admitted and not admitted to the hospital following an E.R. visit?
$0 if admitted
$50 if not admitted
This includes Dental, Hearing Aid and Vision coverages.
Medicare Advantage
The amount a Medicare Beneficiary must pay for a particular prescription is based on the _____ of the formulary that particular medication falls in to.
Tier
After the Part B deductible, Medicare covers 80% and you or your supplement cover the other 20% of all ________ charges.
Approved or Medicare Approved charges.
The Medicare Part A deductible for 2026 is _____?
$1,736
Looking at Medicare Supplement Plans G, N. Which plan covers the part B excess charges 100%?
Plan G
These plans offer a lower monthly cost alternative to Original Medicare, but includes copays and networks.
Medicare Advantage
Currently, the late enrollment penalty is calculated by multiplying 1% of the “national base beneficiary premium” ($33.37 in 2022) by the number of full, uncovered _____ that you were eligible but didn’t enroll in Medicare drug coverage (Part D) and went without other creditable prescription drug coverage.
months
True or False
Medicare Part B covers certain Home Health charges.
True
Name 2 of the 3 requirements for Medicare to cover skilled nursing coverage under Part A.
• Your doctor certifies that you need daily care
• The care follows a three-day hospital stay for a related illness
• You require skilled nursing care for up to 100 days
If your lifetime reserve days are used up, a Washington National Medicare Supplement will provide an additional ___ days of hospital coverage at no cost.
365
No networks, no referrals and plans with virtually no out-of-pocket expenses is referring to what?
Med Supp
Since Mrs. Martinez was without _______ prescription drug coverage and later decides to enroll in a Part D Rx plan, she will have a penalty.
creditable
Part B covers a welcome to _________ preventive visit and yearly _________visit every 12 months .
Medicare
Wellness
In order for Medicare to cover Hospice care under Part A, your doctor must certify that you have_____ months or less to live.
6
Regarding the foreign travel benefit on all Medicare Supplement plans: The plan will pay ____% of benefits up to a $_______ Lifetime Maximum.
80%
and
$50,000
This plan requires you to purchase a seperate Part D plan in order to avoid penalties in the future.
MS
Plans may have coverage rules for certain drugs. Name 2 of the 3 ways they they can limit those certain prescriptions:
Prior Authorization
Quantity Limits
Step Therapy
True or False
Medicare Part B covers ambulance services and wheelchairs and walkers but does not cover diabetes supplies as that is covered under Part D.
False