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DLM ASCP-2026 COMPREHENSIVE EXAM ||VERIFIED
EXAM!!|| MOST RECENT EXAM ACTUAL COMPLETE
REAL EXAM QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+ ||
NEWEST EXAM!!!
Mrs. Duarte is enrolled in Original Medicare Parts A and B.
She has recently reviewed her Medicare Summary Notice
(MSN) and disagrees with a determination that partially
denied one of her claims for services. What advice would
you give her? - Answer-Mrs. Duarte should file an appeal
of this initial determination within 120 days of the date she
received the MSN in the mail.
Mrs. Geisler's neighbor told her she should look at her
Part D options during the annual Medicare enrollment
period because the 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? - Answer-Part D covers
prescription drugs and she should look at her premiums,
formulary, and cost-sharing among other factors to see if
they have changed.
,2|Page
Mr. Rainey is experiencing paranoid delusions and his
physician feels that he should be hospitalized. What
should you tell Mr. Rainey (or his representative) about the
length of an inpatient psychiatric hospital stay that
Medicare will cover? - Answer-Medicare will cover a total
of 190 days of inpatient psychiatric care during Mr.
Rainey's entire lifetime.
Mr. Xi will soon turn age 65 and has come to you for
advice as to what services are provided under Original
Medicare. What should you tell Mr. Xi that best describes
the health coverage provided to Medicare beneficiaries? -
Answer-Beneficiaries under Original Medicare have no
cost-sharing for most preventive services.
Mr. Singh would like drug coverage but does not want to
be enrolled in a Medicare Advantage plan. What should
you tell him? - Answer-Mr. Singh can enroll in a stand-
alone prescription drug plan and continue to be covered
for Part A and Part B services through Original Fee-for-
Service Medicare.
Mrs. Chen will be 65 soon, has been a citizen for twelve
years, has been employed full time, and paid taxes during
that entire period. She is concerned that she will not
,3|Page
qualify for coverage under part A because she was not
born in the United States. What should you tell her? -
Answer-Most individuals who are citizens and age 65 or
over are covered under Part A by virtue of having paid
Medicare taxes while working, though some may be
covered as a result of paying monthly premiums.
Mrs. Quinn recently turned 66 and decided after many
years of work to retire and begin receiving Social Security
benefits. Shortly thereafter Mrs. Quinn received a letter
informing her that she had been automatically enrolled in
Medicare Part B. She wants to understand what this
means. What should you tell Mrs. Quinn? - Answer-Part B
primarily covers physician services. She will be paying a
monthly premium and, except for many preventive and
screening tests, generally will have 20% co-payments for
these services, in addition to an annual deductible.
Mrs. Shields is covered by Original Medicare. She
sustained a hip fracture and is being successfully treated
for that condition. However, she and her physicians feel
that after her lengthy hospital stay, she will need a month
or two of nursing and rehabilitative care. What should you
tell them about Original Medicare's coverage of care in a
skilled nursing facility? - Answer-Medicare will cover Mrs.
Shield's skilled nursing services provided during the first
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20 days of her stay, after which she would have a copay
until she has been in the facility for 100 days.
Mrs. West wears glasses and dentures and has enjoyed
considerable pain relief from arthritis through massage
therapy. She is concerned about whether or not Medicare
will cover these items and services. What should you tell
her? - Answer-Medicare does not cover massage therapy,
or, in general, glasses or dentures.
Mrs. Park is an elderly retiree. Mrs. Park has a low fixed
income. What could you tell Mrs. Park that might be of
assistance? - Answer-She should contact her state
Medicaid agency to see if she qualifies for one of several
programs that can help with Medicare costs for which she
is responsible.
Mr. Alonso receives some help paying for his two generic
prescription drugs from his employer's retiree coverage,
but he wants to compare it to a Part D prescription drug
plan. He asks you what costs he would generally expect to
encounter when enrolling into a standard Medicare Part D
prescription drug plan. What should you tell him? -
Answer-He generally would pay a monthly premium,
annual deductible, and per-prescription cost-sharing.
DLM ASCP-2026 COMPREHENSIVE EXAM ||VERIFIED
EXAM!!|| MOST RECENT EXAM ACTUAL COMPLETE
REAL EXAM QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+ ||
NEWEST EXAM!!!
Mrs. Duarte is enrolled in Original Medicare Parts A and B.
She has recently reviewed her Medicare Summary Notice
(MSN) and disagrees with a determination that partially
denied one of her claims for services. What advice would
you give her? - Answer-Mrs. Duarte should file an appeal
of this initial determination within 120 days of the date she
received the MSN in the mail.
Mrs. Geisler's neighbor told her she should look at her
Part D options during the annual Medicare enrollment
period because the 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? - Answer-Part D covers
prescription drugs and she should look at her premiums,
formulary, and cost-sharing among other factors to see if
they have changed.
,2|Page
Mr. Rainey is experiencing paranoid delusions and his
physician feels that he should be hospitalized. What
should you tell Mr. Rainey (or his representative) about the
length of an inpatient psychiatric hospital stay that
Medicare will cover? - Answer-Medicare will cover a total
of 190 days of inpatient psychiatric care during Mr.
Rainey's entire lifetime.
Mr. Xi will soon turn age 65 and has come to you for
advice as to what services are provided under Original
Medicare. What should you tell Mr. Xi that best describes
the health coverage provided to Medicare beneficiaries? -
Answer-Beneficiaries under Original Medicare have no
cost-sharing for most preventive services.
Mr. Singh would like drug coverage but does not want to
be enrolled in a Medicare Advantage plan. What should
you tell him? - Answer-Mr. Singh can enroll in a stand-
alone prescription drug plan and continue to be covered
for Part A and Part B services through Original Fee-for-
Service Medicare.
Mrs. Chen will be 65 soon, has been a citizen for twelve
years, has been employed full time, and paid taxes during
that entire period. She is concerned that she will not
,3|Page
qualify for coverage under part A because she was not
born in the United States. What should you tell her? -
Answer-Most individuals who are citizens and age 65 or
over are covered under Part A by virtue of having paid
Medicare taxes while working, though some may be
covered as a result of paying monthly premiums.
Mrs. Quinn recently turned 66 and decided after many
years of work to retire and begin receiving Social Security
benefits. Shortly thereafter Mrs. Quinn received a letter
informing her that she had been automatically enrolled in
Medicare Part B. She wants to understand what this
means. What should you tell Mrs. Quinn? - Answer-Part B
primarily covers physician services. She will be paying a
monthly premium and, except for many preventive and
screening tests, generally will have 20% co-payments for
these services, in addition to an annual deductible.
Mrs. Shields is covered by Original Medicare. She
sustained a hip fracture and is being successfully treated
for that condition. However, she and her physicians feel
that after her lengthy hospital stay, she will need a month
or two of nursing and rehabilitative care. What should you
tell them about Original Medicare's coverage of care in a
skilled nursing facility? - Answer-Medicare will cover Mrs.
Shield's skilled nursing services provided during the first
, 4|Page
20 days of her stay, after which she would have a copay
until she has been in the facility for 100 days.
Mrs. West wears glasses and dentures and has enjoyed
considerable pain relief from arthritis through massage
therapy. She is concerned about whether or not Medicare
will cover these items and services. What should you tell
her? - Answer-Medicare does not cover massage therapy,
or, in general, glasses or dentures.
Mrs. Park is an elderly retiree. Mrs. Park has a low fixed
income. What could you tell Mrs. Park that might be of
assistance? - Answer-She should contact her state
Medicaid agency to see if she qualifies for one of several
programs that can help with Medicare costs for which she
is responsible.
Mr. Alonso receives some help paying for his two generic
prescription drugs from his employer's retiree coverage,
but he wants to compare it to a Part D prescription drug
plan. He asks you what costs he would generally expect to
encounter when enrolling into a standard Medicare Part D
prescription drug plan. What should you tell him? -
Answer-He generally would pay a monthly premium,
annual deductible, and per-prescription cost-sharing.
