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.
Mrs.pWestpwearspglassespandpdenturespandphaspenjoyedpconsiderableppainpre
liefpfromparthritispthroughpmassageptherapy.pShepispconcernedpaboutpwhetherp
orpnotpMedicarepwillpcoverpthesepitemspandpservices.pWhatpshouldpyouptellphe
r?
✓✓Medicarepdoespnotpcoverpmassageptherapy,por,pinpgeneral,pglassesporpdentures.
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mentpwhenphepturnsp66.pHepwantsptopunderstandpthephealthpcarepcostsphepmightpbep
exposedptopunderpMedicarepifphepwereptoprequirephospitalizationpaspapresultpofpanpi
llness.pInpgeneralpterms,pwhatpcouldpyouptellphimpaboutphispcostspforpinpatientpho
spitalpservices
underpOriginalpMedicare?p✓✓UnderpOriginalpMedicare,ptherepispapsingle
deductiblepamountpduepforpthepfirstp60pdayspofpanypinpatientphospitalpstay,pafter
pwhich pitpconvertspinto papper-
daypcoinsurancepamountpthroughpdayp90.pAfterpdayp90,phepwouldppaypapdailypa
mountpupptop60pdayspoverphisplifetime,pafterpwhichphepwouldpbepresponsiblepfor
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urnsp65,pwithoutppayingpanyppremiums,pbecausepshephaspbeenpworkingpforp40pyear
spandppayingpMedicareptaxes.pWhatpshouldpyouptellpher?p✓✓TopobtainpPartpBpco
verage,pshepmustppaypapstandardpmonthlyppremium,pthoughpitpisphigherpforpindivi
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NURSINGp412pAHIPpEXAMp QUESTIONSpAND
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Mr.pDavispisp52pyearspoldpandphasprecentlypbeenpdiagnosedpwithpend-
stageprenalpdiseasep(ESRD)pandpwillpsoonpbeginpdialysis.pHepispwonderingpifphepc
anpobtainpcoveragepunderpMedicare.pWhatpshouldpyouptellphim?p✓Hepmaypsign-
uppforpMedicarepatpanyptimephoweverpcoveragepusuallypbeginsponpthepfourthpmont
hpafterpdialysisptreatmentspstart.
JuanpPerez,pwhopispturningpagep65pnextpmonth,pintendsptopworkpforpseveralpmorep
yearspatpSmallcap,pIncorporated.pSmallcapphaspapworkforcepof15pemployeespandp
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psponsored phealthcare pcoverage.pHowpwould pyou prespond? p✓Juanpisplikelypto pb
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Ms.pMoorepplansptopretirepwhenpshepturnsp65pinpapfewpmonths.pShepispinpexcelle
ntphealthpandpwillphavepconsiderablepincomepwhenpshepretires.pShepispconcerned
pthatpherpincomepwillpmakepitpimpossible pforpherpto pqualify pforpMedicare.pWha
tpcouldpyouptellpherptopaddresspherpconcern?p✓✓Medicarepispapprogrampforppe
oplepagep 65porpolderpandpthosepunderpagep65pwithpcertainpdisabilities,pend-
stageprenalpdisease,pandpLoupGehrig'spdiseasepsopshepwillpbepeligiblepforpMedi
care.
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repprovidedpunderpOriginalpMedicare.pWhatpshouldpyouptellpMr.pXipthatpbestpdescr
ibespthephealthpcoveragepprovidedptopMedicarepbeneficiaries?p✓✓Beneficiariespu
nderpOriginalpMedicarephavepnopcost-
sharingpforpmostppreventivepservicespwhichpincludepimmunizationspsuchpaspannual
pflupshots.
Mrs.pPenapisp66pyearspold,phaspcoveragepunderpanpemployerpplan,pandpwillpretirep
nextpyear.pShepheardpshepmustpenrollpinpPartpBpatpthepbeginningpofpthepyearptopensu
repnopgappinpcoverage.pWhatpcanpyouptellpher?p✓Shepmaypenrollpatpanyptimepwhil
epshepispcoveredpunderpherpemployerpplan,pbutpshepwillphavepapspecialpeight-
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dpfullptime,pandppaidptaxespduringpthatpentirepperiod.pShepispconcernedpthatpshepw
ill
NURSINGp 412pAHIPpFINALpEXAMp TESTp Questions
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NURSINGp412pAHIPpEXAMp QUESTIONSpAND
pANSWERSpASSUREDpSUCCESSpGRADEDpA+
.
Mrs.pWestpwearspglassespandpdenturespandphaspenjoyedpconsiderableppainpre
liefpfromparthritispthroughpmassageptherapy.pShepispconcernedpaboutpwhetherp
orpnotpMedicarepwillpcoverpthesepitemspandpservices.pWhatpshouldpyouptellphe
r?
✓✓Medicarepdoespnotpcoverpmassageptherapy,por,pinpgeneral,pglassesporpdentures.
Mr.pPatelpispinpgoodphealthpandpisppreparingpapbudgetpinpanticipationpofphispretire
mentpwhenphepturnsp66.pHepwantsptopunderstandpthephealthpcarepcostsphepmightpbep
exposedptopunderpMedicarepifphepwereptoprequirephospitalizationpaspapresultpofpanpi
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pwhich pitpconvertspinto papper-
daypcoinsurancepamountpthroughpdayp90.pAfterpdayp90,phepwouldppaypapdailypa
mountpupptop60pdayspoverphisplifetime,pafterpwhichphepwouldpbepresponsiblepfor
pallpcosts.
Ms.pHendersonpbelievespthatpshepwillpqualifypforpMedicarepCoveragepwhenpshept
urnsp65,pwithoutppayingpanyppremiums,pbecausepshephaspbeenpworkingpforp40pyear
spandppayingpMedicareptaxes.pWhatpshouldpyouptellpher?p✓✓TopobtainpPartpBpco
verage,pshepmustppaypapstandardpmonthlyppremium,pthoughpitpisphigherpforpindivi
dualspwithphigherpincomes.
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1
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Mr.pDavispisp52pyearspoldpandphasprecentlypbeenpdiagnosedpwithpend-
stageprenalpdiseasep(ESRD)pandpwillpsoonpbeginpdialysis.pHepispwonderingpifphepc
anpobtainpcoveragepunderpMedicare.pWhatpshouldpyouptellphim?p✓Hepmaypsign-
uppforpMedicarepatpanyptimephoweverpcoveragepusuallypbeginsponpthepfourthpmont
hpafterpdialysisptreatmentspstart.
JuanpPerez,pwhopispturningpagep65pnextpmonth,pintendsptopworkpforpseveralpmorep
yearspatpSmallcap,pIncorporated.pSmallcapphaspapworkforcepof15pemployeespandp
offerspemployer-
sponsoredphealthcarepcoverage.pJuanpispapnaturalizedpcitizenpandphaspcontributed pt
opthepMedicarepsystempforpoverp20pyears.pJuanpaskspyoupifphepwill
bepentitledptopMedicarepandpifphepenrollsphowpthatpwillpimpactphispemployer-
psponsored phealthcare pcoverage.pHowpwould pyou prespond? p✓Juanpisplikelypto pb
epeligiblepforpMedicareponcephepturnspagep65pandpifphepenrollspMedicarepwouldp
becomepthepprimaryppayorpofphisphealthcarepclaimspandpSmallcappdoespnotphavep
topcontinueptopofferphimpcoveragepcomparableptopthosepunderpagep65punderpitsp
employer-sponsoredpgroupphealthpplan.
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pcoverage pMedicare pSupplementalpInsurance pprovides psince phisphealth pcarepneeds
parepdifferentpfromphispwife'spneeds.pWhatpcould pyou ptellpMr.pMoy?p✓Medicare pS
upplementalpInsurancepwouldphelppcoverphispPartpApandpPartpBpdeductiblesporpco
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Ms.pMoorepplansptopretirepwhenpshepturnsp65pinpapfewpmonths.pShepispinpexcelle
ntphealthpandpwillphavepconsiderablepincomepwhenpshepretires.pShepispconcerned
pthatpherpincomepwillpmakepitpimpossible pforpherpto pqualify pforpMedicare.pWha
tpcouldpyouptellpherptopaddresspherpconcern?p✓✓Medicarepispapprogrampforppe
oplepagep 65porpolderpandpthosepunderpagep65pwithpcertainpdisabilities,pend-
stageprenalpdisease,pandpLoupGehrig'spdiseasepsopshepwillpbepeligiblepforpMedi
care.
Mr.pXipwillpsoonpturnpagep65pandphaspcomeptopyoupforpadvicepasptopwhatpservicespa
repprovidedpunderpOriginalpMedicare.pWhatpshouldpyouptellpMr.pXipthatpbestpdescr
ibespthephealthpcoveragepprovidedptopMedicarepbeneficiaries?p✓✓Beneficiariespu
nderpOriginalpMedicarephavepnopcost-
sharingpforpmostppreventivepservicespwhichpincludepimmunizationspsuchpaspannual
pflupshots.
Mrs.pPenapisp66pyearspold,phaspcoveragepunderpanpemployerpplan,pandpwillpretirep
nextpyear.pShepheardpshepmustpenrollpinpPartpBpatpthepbeginningpofpthepyearptopensu
repnopgappinpcoverage.pWhatpcanpyouptellpher?p✓Shepmaypenrollpatpanyptimepwhil
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dpfullptime,pandppaidptaxespduringpthatpentirepperiod.pShepispconcernedpthatpshepw
ill
NURSINGp 412pAHIPpFINALpEXAMp TESTp Questions
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