AHIP FINAL EXAM QUESTIONS AND
REVISED ANSWERS FROM A VERIFIED
SOURCE () 100%
GUARANTEE PASS!!!
Medicare will cover Mrs. Shield's skilled nursing services provided
during the first 20 days of her stay, after which she would have a
copay until she has been in the facility for 100 days. - CORRECT
ANSWER-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?
Medicare does not cover massage therapy, or, in general, glasses or
dentures. - CORRECT ANSWER-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?
,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. - CORRECT ANSWER-Mrs. Park is an elderly
retiree. Mrs. Park has a low fixed income. What could you tell Mrs.
Park that might be of assistance?
He generally would pay a monthly premium, annual deductible, and per-
prescription cost-sharing. - CORRECT ANSWER-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?
Mrs. Gonzalez cannot purchase a Medigap plan that covers drugs, but
she could keep her Medigap policy and enroll in a Part D prescription
drug plan. - CORRECT ANSWER-Mrs. Gonzalez is enrolled in Original
Medicare and has a Medigap policy as well, but it provides no drug
coverage. She would like to keep the coverage she has but replace her
existing Medigap plan with one that provides drug coverage. What
should you tell her?
He may sign-up for Medicare at any time however coverage usually
begins on the fourth month after dialysis treatments start. -
CORRECT ANSWER-Mr. Davis is 52 years old and has recently been
diagnosed with end-stage renal disease (ESRD) and will soon begin
,dialysis. He is wondering if he can obtain coverage under Medicare.
What should you tell him?
Mrs. Duarte should file an appeal of this initial determination within
120 days of the date she received the MSN in the mail. - CORRECT
ANSWER-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?
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. - CORRECT ANSWER-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?
Medicare will cover a total of 190 days of inpatient psychiatric care
during Mr. Rainey's entire lifetime. - CORRECT ANSWER-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?
, Beneficiaries under Original Medicare have no cost-sharing for most
preventive services. - CORRECT ANSWER-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?
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. - CORRECT ANSWER-Mr. Singh would like
drug coverage but does not want to be enrolled in a Medicare
Advantage plan. What should you tell him?
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. -
CORRECT ANSWER-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 qualify for coverage
under part A because she was not born in the United States. What
should you tell her?
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. - CORRECT ANSWER-Mrs. Quinn recently
turned 66 and decided after many years of work to retire and begin
REVISED ANSWERS FROM A VERIFIED
SOURCE () 100%
GUARANTEE PASS!!!
Medicare will cover Mrs. Shield's skilled nursing services provided
during the first 20 days of her stay, after which she would have a
copay until she has been in the facility for 100 days. - CORRECT
ANSWER-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?
Medicare does not cover massage therapy, or, in general, glasses or
dentures. - CORRECT ANSWER-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?
,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. - CORRECT ANSWER-Mrs. Park is an elderly
retiree. Mrs. Park has a low fixed income. What could you tell Mrs.
Park that might be of assistance?
He generally would pay a monthly premium, annual deductible, and per-
prescription cost-sharing. - CORRECT ANSWER-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?
Mrs. Gonzalez cannot purchase a Medigap plan that covers drugs, but
she could keep her Medigap policy and enroll in a Part D prescription
drug plan. - CORRECT ANSWER-Mrs. Gonzalez is enrolled in Original
Medicare and has a Medigap policy as well, but it provides no drug
coverage. She would like to keep the coverage she has but replace her
existing Medigap plan with one that provides drug coverage. What
should you tell her?
He may sign-up for Medicare at any time however coverage usually
begins on the fourth month after dialysis treatments start. -
CORRECT ANSWER-Mr. Davis is 52 years old and has recently been
diagnosed with end-stage renal disease (ESRD) and will soon begin
,dialysis. He is wondering if he can obtain coverage under Medicare.
What should you tell him?
Mrs. Duarte should file an appeal of this initial determination within
120 days of the date she received the MSN in the mail. - CORRECT
ANSWER-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?
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. - CORRECT ANSWER-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?
Medicare will cover a total of 190 days of inpatient psychiatric care
during Mr. Rainey's entire lifetime. - CORRECT ANSWER-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?
, Beneficiaries under Original Medicare have no cost-sharing for most
preventive services. - CORRECT ANSWER-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?
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. - CORRECT ANSWER-Mr. Singh would like
drug coverage but does not want to be enrolled in a Medicare
Advantage plan. What should you tell him?
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. -
CORRECT ANSWER-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 qualify for coverage
under part A because she was not born in the United States. What
should you tell her?
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. - CORRECT ANSWER-Mrs. Quinn recently
turned 66 and decided after many years of work to retire and begin
