AHIP Final Exam: Complete Questions & Answers | Rated A+ Verified Study Guide

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Mrs. ,Peňa ,is ,66 ,years ,old, ,has ,coverage ,under ,an ,employer ,plan, ,and ,will
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,retire ,next year. ,She ,heard ,she ,must ,enroll ,in ,Part ,B ,at ,the ,beginning ,of
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,the ,year ,to ,ensure ,no ,gap,in ,coverage. ,What ,can ,you ,tell ,her?correct
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,answersShe ,may ,enroll ,at ,any ,time ,while ,she ,is ,covered ,under ,her
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,employer ,plan, ,but ,she ,will ,have ,a ,special ,eight-month enrollment ,period
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,after ,the ,last ,month ,on ,her ,employer ,plan ,that ,differs ,from ,the ,standard
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,general ,enrollment ,period, ,during ,which ,she ,may ,enroll ,in ,Medicare ,Part
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Mr., Moy’s, wife ,has ,a ,Medicare ,Advantage ,plan, ,but ,he ,wants ,to
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,understand ,what coverage ,Medicare ,Supplemental ,Insurance ,provides ,since
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,his ,health ,care ,needs ,are,different ,from ,his ,wife's ,needs. ,What ,could ,you
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,tell ,Mr. ,Moy?correct ,answersMedicare,Supplemental ,Insurance ,would ,help
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, ,cover ,his ,Part ,A ,and ,Part ,B ,deductibles ,or coinsurance ,in ,Original ,Fee-for-
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I Service ,(FFS) ,Medicare ,as ,well ,as ,possibly ,some services ,that ,Medicare
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,does ,not ,cover.
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Mrs. ,Chen ,will ,be ,65 ,soon, ,has ,been ,a ,citizen ,for ,twelve ,years, ,has ,been
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,employed ,full time, ,and ,paid ,taxes ,during ,that ,entire ,period. ,She ,is
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,concerned ,that ,she ,will ,not ,qualify,for ,coverage ,under ,part ,A ,because ,she
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,was ,not ,born ,in ,the ,United ,States. ,What ,should,you ,tell ,her?correct
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,answersMost ,individuals ,who ,are ,citizens ,and ,age ,65 ,or ,over ,are covered
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,under ,Part ,A ,by ,virtue ,of ,having ,paid ,Medicare ,taxes ,while ,working,
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,though some ,may ,be ,covered ,as ,a ,result ,of ,paying ,monthly ,premiums.
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, Mrs. ,Gonzalez ,is ,enrolled ,in ,Original ,Medicare ,and ,has ,a ,Medigap ,policy
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,as ,well, ,but ,it provides ,no ,drug ,coverage. ,She ,would ,like ,to ,keep ,the
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,coverage ,she ,has ,but ,replace her ,existing ,Medigap ,plan ,with ,one ,that ,provid
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es ,drug ,coverage. ,What ,should ,you ,tell ,her?correct ,answersMrs. ,Gonzalez ,c
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annot ,purchase ,a ,Medigap ,plan ,that ,covers ,drugs,,but ,she ,could
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,keep ,her ,Medigap ,policy ,and ,enroll ,in ,a ,Part ,D ,prescription ,drug ,plan.
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Mrs. ,West ,wears ,glasses ,and ,dentures ,and ,has ,enjoyed ,considerable ,pain
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,relief ,from arthritis ,through ,massage ,therapy. ,She ,is ,concerned ,about
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,whether ,or ,not ,Medicare ,will,cover ,these ,items ,and ,services. ,What ,should ,you
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I ,tell ,her?correct ,answersMedicare does ,not ,cover ,massage ,therapy, ,or,
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,in ,general, ,glasses ,or ,dentures.
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Mr., Patel ,is ,in ,good ,health ,and ,is ,preparing ,a ,budget ,in ,anticipation ,of ,his
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,retirement when ,he ,turns ,66. ,He ,wants ,to ,understand ,the ,health ,care ,costs
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,he ,might ,be ,exposed ,to,under ,Medicare ,if ,he ,were ,to ,require ,hospitalization
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,as ,a ,result ,of ,an ,illness. ,In ,general terms, ,what ,could ,you ,tell ,him ,about
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,his ,costs ,for ,inpatient ,hospital ,services under ,Original ,Medicare?correct ,answ
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ersUnder ,Original ,Medicare, ,there ,is ,a I I I I I II



,single deductible ,amount ,due ,for ,the ,first ,60 ,days ,of ,any ,inpatient ,hospital
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,stay, ,after ,which ,it converts ,into ,a ,per-day ,coinsurance ,amount ,through ,day
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,90. ,After ,day ,90, ,he ,would ,pay,a ,daily ,amount ,up ,to ,60 ,days ,over ,his
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,lifetime, ,after ,which ,he ,would ,be ,responsible ,for all ,costs.
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Ms. ,Henderson ,believes ,that ,she ,will ,qualify ,for ,Medicare ,Coverage ,when
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,she ,turns ,65, ,without ,paying ,any ,premiums, ,because ,she ,has ,been ,working
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,for ,40 ,years ,and ,paying ,Medicare ,taxes. ,What ,should ,you ,tell ,her?correct
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,answersTo ,obtain ,Part ,B ,coverage, she ,must ,pay ,a ,standard ,monthly ,premium,
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,though ,it ,is ,higher ,for ,individuals ,with ,higher,incomes.
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Mr. ,Alonso ,receives ,some ,help ,paying ,for ,his ,two ,generic ,prescription
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,drugs ,from ,his employer's ,retiree ,coverage, ,but ,he ,wants ,to ,compare ,it ,to
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