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Navigating Retirement Healthcare Flashcards

7 cards from real CRPC practice questions. Tap to flip, then mark Knew It or Still Learning โ€” missed cards come back until you master them.

Read the first 7 Navigating Retirement Healthcare flashcards as text
  1. A 65-year-old retiree has End-Stage Renal Disease (ESRD). Which Medicare enrollment rule applies?

    Answer: She qualifies for Medicare immediately regardless of age

    ESRD is one of the special qualifying conditions that allows Medicare enrollment at any age, not just 65.

  2. Which Medicare Supplement (Medigap) plan is the ONLY one that covers the Medicare Part A deductible after Plan C was discontinued for new enrollees?

    Answer: Plan G

    Plan G covers the Part A deductible and all other gaps except the Part B deductible, making it the most comprehensive plan available to new enrollees after Plan C was closed.

  3. A retiree on Medicare Advantage wants to switch to Original Medicare. Which statement is TRUE regarding Medigap availability?

    Answer: She may be subject to medical underwriting in most states

    Most states allow insurers to use medical underwriting when a Medicare Advantage enrollee switches back to Original Medicare outside a guaranteed-issue window.

  4. How does the Medicare Income-Related Monthly Adjustment Amount (IRMAA) affect a high-income retiree?

    Answer: It increases their Part B and Part D premiums based on prior-year income

    IRMAA surcharges are added to standard Part B and Part D premiums for beneficiaries whose modified adjusted gross income exceeds IRS thresholds two years prior.

  5. A retiree withdraws $60,000 from a traditional IRA in a year when their income otherwise would have been below the IRMAA threshold. What is the PRIMARY planning concern?

    Answer: The withdrawal may push modified AGI above an IRMAA bracket and increase Medicare premiums

    Large IRA distributions increase MAGI, which Medicare measures two years later for IRMAA surcharge determination, potentially causing a significant premium spike.

  6. Which of the following is NOT covered by Medicare Part B?

    Answer: Routine dental care

    Routine dental care, including cleanings, fillings, and extractions, is explicitly excluded from Medicare Part B coverage.

  7. A client turns 65 while still covered by her employer's group health plan (employer has 25 employees). What is her best Medicare strategy?

    Answer: Enroll in Part A and Part B immediately because employer coverage is secondary

    When an employer has fewer than 20 employees, Medicare is primary, so delaying Part B would result in coverage gaps; she should enroll in both parts immediately.