AHIP 2022/23 Questions And Answers. Correctly Solved

Mr. Schmidt would like to plan for retirement and has asked you what is covered under Original Fee-for-Service (FFS) Medicare? What could you tell him? Choose one answer. a. Part D, which covers prescription drug services, is covered under Original Medicare. Incorrect b. Part A, which covers hospital, skilled nursing facility, hospice, and home health services and Part B, which covers professional services such as those provided by a doctor are covered under Original Medicare. Correct Correct: Original Medicare consists of Part A and Part B. c. Part A, which covers long term custodial care services, is covered under Original Medicare. Incorrect d. Part C, which always covers dental and vision services, is covered under Original Medicare. Incorrect Source: Part 1, Slide – Overview of Medicare (Parts A, B, C, and D), Slide – Overview of Different Ways to Get Medicare Correct Marks for this submission: 1/1. Question2 Marks: 1 Mrs. Turner is comparing her employer’s retiree insurance to Original Medicare and would like to know which of the following services Original Medicare will cover if the appropriate criteria are met? What could you tell her? Choose one answer. a. Original Medicare covers cosmetic surgery. Incorrect b. Original Medicare covers routine long-term custodial care. Incorrect c. Original Medicare covers routine dental care. Incorrect d. Original Medicare covers ambulance services. Correct Correct: Original Medicare does cover ambulance services. Source: Module 1, Slide - Other Part B Items and Services and Not Covered by Medicare Part A & B Correct Marks for this submission: 1/1. Question3 Marks: 1 Ms. Moore plans to retire when she turns 65 in a few months. She is in excellent health and will have considerable income when she retires. She is concerned that her income will make it impossible for her to qualify for Medicare. What could you tell her to address her concern? Choose one answer. a. Medicare is a program for people who have incomes and assets below specific limits, so you will have to find out her exact financial situation before telling her whether she can obtain Medicare coverage. Incorrect b. Medicare is a program for people of all ages with specific mental health disabilities. Since she is in excellent health, she would not qualify, but should instead look into her state’s Medicaid program if she wants further coverage. Incorrect c. Medicare is a program for people age 65 or older and those under age 65 with certain disabilities, end-stage renal disease, and Lou Gehrig’s disease so she will be eligible for Medicare. Correct Correct: Individuals that meet these criteria may be eligible to participate in Medicare. It is not based on income. d. Eligibility for Medicare is based on whether or not a person has ever been employed by the federal government. If she or her husband were ever employed by the federal government, she can enroll in Medicare. Incorrect Source: Module 1, Slide - Eligibility for Part A and Part B Correct Marks for this submission: 1/1. Question4 Marks: 1 Mr. Moy's wife has a Medicare Advantage plan, but he wants to understand what coverage Medicare Supplemental Insurance provides since his health care needs are different from his wife’s needs. What could you tell Mr. Moy? Choose one answer. a. Medicare Supplemental Insurance would help cover his Part A and Part B cost sharing in Original Fee-for-Service (FFS) Medicare as well as possibly some services that Medicare does not cover. Correct Correct: Medicare Supplement Insurance (Medigap) helps to cover Part A and Part B costsharing in Original Medicare as well as possibly offering some services such as medical care when a beneficiary travels outside the United States. b. Medicare Supplemental Insurance would cover his dental, vision and hearing services only. Incorrect c. Medicare Supplemental Insurance would cover all of his IRS approved health care expenditures not covered under Original Fee-for-Service (FFS) Medicare. Incorrect d. Medicare Supplemental Insurance would cover his long-term care services. Incorrect Source: Module 1, Slide - Medigap (Medicare Supplement Insurance) Correct Marks for this submission: 1/1. Question5 Marks: 1 Mrs. Geisler’s neighbor told her she should look at her Part D options during the annual Medicare enrollment period because 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? Choose one answer. a. Part D covers hospital and home health services and the cost sharing has changed this year. Incorrect b. Part D covers prescription drugs and she should look at her premiums, formulary, and costsharing among other factors to see if they have changed. Correct Correct: Part D provides prescription drug coverage. Premiums, plan formularies, and costsharing, among other factors, may change from one plan year to another. c. Part D covers physician and non-physician practitioner services and the deductible has not changed this year, but the physician charges may go up. Incorrect d. Part D covers long-term care services and she shouldn’t worry because there has been no change in coverage. Incorrect Source: Module 1, Slide - Original Medicare and Part D Prescription Drug Coverage Correct Marks for this submission: 1/1. Question6 Marks: 1 Anita Magri will turn age 65 in August 2020. Anita intends to enroll in Original Medicare Part A and Part B. She would also like to enroll in a Medicare Supplement (Medigap) plan. Anita’s older neighbor Mel has told her about the Medigap Part F plan in which he is enrolled. It not only provides foreign travel emergency benefits but also covers his Medicare Part B deductible. Anita comes to you for advice. What should you tell her?