NURSING 412 AHIP EXAM STUDY
GUIDE. GRADED A+. QUESTIONS
AND 100% VERIFIED ANSWERS.
LATEST UPDATE
,Mrs. Pena is 66 years old, has coverage under an employer plan, and will retire
next year. She heard she must enroll in Part B at the beginning of the year to
ensureno gap in coverage. What can you tell her? ✓She may enroll at any time
while she is covered under her employer plan, but she will have a special eight-
month enrollment period after the last month on her employer plan that differs
from the standard general enrollment period, during which she may enroll in
Medicare Part B.
Mrs. Chen will be 65 soon, has been a citizen for twelve years, has been
employedfull 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? ✓Most individuals who are citizens
and age 65
or over are covered under Part A by virtue of having paid Medicare taxes
whileworking, though some may be covered as a result of paying monthly
premiums.
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 butreplace her existing Medigap plan
,with one that provides drug coverage. What should you tell her?
✓✓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.
Mrs. West wears glasses and dentures and has enjoyed considerable pain
relieffrom arthritis through massage therapy. She is concerned about
whether or notMedicare will cover these items and services. What should
you tell her?
✓✓Medicare does not cover massage therapy, or, in general, glasses or dentures.
Mr. Patel is in good health and is preparing a budget in anticipation of his
retirement when he turns 66. He wants to understand the health care costs he
mightbe exposed to under Medicare if he were to require hospitalization as a
result of anillness. In general terms, what could you tell him about his costs for
inpatient hospital services
under Original Medicare? ✓✓Under Original Medicare, there is a single
deductible amount due for the first 60 days of any inpatient hospital stay,
after which it converts into a per-day coinsurance
amount through day 90. After day 90,he would pay a daily amount
, up to 60 days over his lifetime, after which he wouldbe responsible for all costs.
Ms. Henderson believes that she will qualify for Medicare Coverage when she
turns 65, without paying any premiums, because she has been working for 40
yearsand paying Medicare taxes. What should you tell her? ✓✓To obtain Part B
coverage, she must pay a standard monthly premium, though it is higher for
individuals with higher incomes.
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? ✓He may sign-up for
Medicare at any time however coverage usually begins on the fourth month
afterdialysis treatments start.
Juan Perez, who is turning age 65 next month, intends to work for several
more years at Smallcap, Incorporated. Smallcap has a workforce of15
employees and offers employer-sponsored healthcare coverage. Juan is a
naturalized citizen and has