AHIP/NUR Community Exam M M
: Questions and Answers, certified latest update 2022
M M M M M M MMMM
/2023 GRADED A+
M M
• Mr. Roberts is concerned that if he signs up for a Medica
M M M M M M M M M M M
re Advantage plan, the health plan may, at some time in t
M M M M M M M M M M M
he future, reduce his benefits below what is available in
M M M M M M M M M M
Original Medicare. What should you tell him about his co
M M M M M M M M M
ncern?
• Medicare health plans must cover all benefits available un
M M M M M M M M
der Medicare Part A and Part B. Many also cover Part D pr
M M M M M M M M M M M M
escription drugs M
• Mrs. Carol enrolled in the ABC Medicare Advantage (MA)
M M M M M M M M M
plan several years ago. Her doctor recently confirmed a d
M M M M M M M M M
iagnosis of end- M M
stage renal disease (ESRD). What options does she have
M M M M M M M M
M in regard to her MA plan during the next open enrollmen
M M M M M M M M M M
t season?
M
• She may remain in her ABC MA plan or enroll in a Spec
M M M M M M M M M M M M
ial Needs Plan (SNP) for individuals suffering from ESR
M M M M M M M M
D if one is available in her area
M M M M M M M
AHIP/NUR Community Exam M M
: Questions and Answers, certified latest update 2022
M M M M M M MMMM
/2023 GRADED A+
M M
,AHIP/NUR Community Exam M M
: Questions and Answers, certified latest update 2022
M M M M M M MMMM
/2023 GRADED A+
M M
• Mrs. Prudence is a widow who will attain age 65 and enrol
M M M M M M M M M M M
l in Medicare in just a few weeks. She concerned about ha
M M M M M M M M M M M
ving prescription drug coverage. Which of the following s
M M M M M M M M
tatements provides the best advice? M M M M
• Prescription drug coverage can be obtained by enrolli
M M M M M M M
ng in a Medicare Advantage plan that includes Part D c
M M M M M M M M M M
overage
• Mr. Kumar is considering a Medicare Advantage HMO a
M M M M M M M M
nd has questions about his ability to access providers.
M M M M M M M M M
What should you tell him?M M M M
• In most Medicare Advantage HMOs, Mr. Kumar must ob
M M M M M M M M
tain his services only from providers who have a contra
M M M M M M M M M
ctual relationship with the plan (except in an emergenc
M M M M M M M M
y)
AHIP/NUR Community Exam M M
: Questions and Answers, certified latest update 2022
M M M M M M MMMM
/2023 GRADED A+
M M
,MAHIP/NUR Community Exam M M
: Questions and Answers, certified latest update 2022
M M M M M M MMMM
/2023 GRADED A+M M
• Mr. Romero is 64, retiring soon, and considering enrollm
M M M M M M M M
ent in his employer-
M M M
sponsored retiree group health plan that includes drug c
M M M M M M M M
overage with nominal copays. He heard about a neighbor
M M M M M M M M
’s MA-
M
PD plan that you represent and because he takes numero
M M M M M M M M M
us prescription drugs, he is considering signing up for it.
M M M M M M M M M M
What should you tell him?
M M M M
• Beneficiaries should check with their employer or unio
M M M M M M M
n group benefits administrator before changing plans t
M M M M M M M
o avoid losing coverage they want to keep
M M M M M M M
• Mrs. Walters is enrolled in her state’s Medicaid program i
M M M M M M M M M
n addition to Medicare. What should she be aware of whe
M M M M M M M M M M
n considering enrollment in a Medicare Health Plan?
M M M M M M M
• Medicaid will coordinate benefits only with Medicaid participat
M M M M M M M
ing providers.
M
AHIP/NUR Community Exam M M
: Questions and Answers, certified latest update 2022
M M M M M M MMMM
/2023 GRADED A+M M
, MAHIP/NUR Community Exam M M
: Questions and Answers, certified latest update 2022
M M M M M M MMMM
/2023 GRADED A+
M M
• Mrs. Andrews asked how a Private Fee-for-
M M M M M M
Service (PFFS) plan might affect her access to services
M M M M M M M M M
since she receives some assistance for her health care c
M M M M M M M M M
osts from the State. What should you tell her?
M M M M M M M M
• Medicaid may provide additional benefits, but Medic
M M M M M M
aid will coordinate benefits only with Medicaid partici
M M M M M M M
pating providers. M
• Mr. Rivera has QMB-
M M M
Plus eligibility and is thus covered by both Medicare and
M M M M M M M M M M
Medicaid. He decides to enroll in a Medicare Advantage (
M M M M M M M M M
MA) plan. Later in the year, Mr. Rivera needs dentures, a s
M M M M M M M M M M M
ervice only covered under Medicaid. What action would y
M M M M M M M M
ou recommend he take in order to have this cost covered?
M M M M M M M M M M
• He should go to a Medicaid provider or obtain the servi
M M M M M M M M M M
ces through a Medicaid manage care plan if he is enroll
M M M M M M M M M M
ed in one
M M
• Ms. Moore plans to retire when she turns 65 in a few mont
M M M M M M M M M M M M
AHIP/NUR Community Exam M M
: Questions and Answers, certified latest update 2022
M M M M M M MMMM
/2023 GRADED A+
M M
: Questions and Answers, certified latest update 2022
M M M M M M MMMM
/2023 GRADED A+
M M
• Mr. Roberts is concerned that if he signs up for a Medica
M M M M M M M M M M M
re Advantage plan, the health plan may, at some time in t
M M M M M M M M M M M
he future, reduce his benefits below what is available in
M M M M M M M M M M
Original Medicare. What should you tell him about his co
M M M M M M M M M
ncern?
• Medicare health plans must cover all benefits available un
M M M M M M M M
der Medicare Part A and Part B. Many also cover Part D pr
M M M M M M M M M M M M
escription drugs M
• Mrs. Carol enrolled in the ABC Medicare Advantage (MA)
M M M M M M M M M
plan several years ago. Her doctor recently confirmed a d
M M M M M M M M M
iagnosis of end- M M
stage renal disease (ESRD). What options does she have
M M M M M M M M
M in regard to her MA plan during the next open enrollmen
M M M M M M M M M M
t season?
M
• She may remain in her ABC MA plan or enroll in a Spec
M M M M M M M M M M M M
ial Needs Plan (SNP) for individuals suffering from ESR
M M M M M M M M
D if one is available in her area
M M M M M M M
AHIP/NUR Community Exam M M
: Questions and Answers, certified latest update 2022
M M M M M M MMMM
/2023 GRADED A+
M M
,AHIP/NUR Community Exam M M
: Questions and Answers, certified latest update 2022
M M M M M M MMMM
/2023 GRADED A+
M M
• Mrs. Prudence is a widow who will attain age 65 and enrol
M M M M M M M M M M M
l in Medicare in just a few weeks. She concerned about ha
M M M M M M M M M M M
ving prescription drug coverage. Which of the following s
M M M M M M M M
tatements provides the best advice? M M M M
• Prescription drug coverage can be obtained by enrolli
M M M M M M M
ng in a Medicare Advantage plan that includes Part D c
M M M M M M M M M M
overage
• Mr. Kumar is considering a Medicare Advantage HMO a
M M M M M M M M
nd has questions about his ability to access providers.
M M M M M M M M M
What should you tell him?M M M M
• In most Medicare Advantage HMOs, Mr. Kumar must ob
M M M M M M M M
tain his services only from providers who have a contra
M M M M M M M M M
ctual relationship with the plan (except in an emergenc
M M M M M M M M
y)
AHIP/NUR Community Exam M M
: Questions and Answers, certified latest update 2022
M M M M M M MMMM
/2023 GRADED A+
M M
,MAHIP/NUR Community Exam M M
: Questions and Answers, certified latest update 2022
M M M M M M MMMM
/2023 GRADED A+M M
• Mr. Romero is 64, retiring soon, and considering enrollm
M M M M M M M M
ent in his employer-
M M M
sponsored retiree group health plan that includes drug c
M M M M M M M M
overage with nominal copays. He heard about a neighbor
M M M M M M M M
’s MA-
M
PD plan that you represent and because he takes numero
M M M M M M M M M
us prescription drugs, he is considering signing up for it.
M M M M M M M M M M
What should you tell him?
M M M M
• Beneficiaries should check with their employer or unio
M M M M M M M
n group benefits administrator before changing plans t
M M M M M M M
o avoid losing coverage they want to keep
M M M M M M M
• Mrs. Walters is enrolled in her state’s Medicaid program i
M M M M M M M M M
n addition to Medicare. What should she be aware of whe
M M M M M M M M M M
n considering enrollment in a Medicare Health Plan?
M M M M M M M
• Medicaid will coordinate benefits only with Medicaid participat
M M M M M M M
ing providers.
M
AHIP/NUR Community Exam M M
: Questions and Answers, certified latest update 2022
M M M M M M MMMM
/2023 GRADED A+M M
, MAHIP/NUR Community Exam M M
: Questions and Answers, certified latest update 2022
M M M M M M MMMM
/2023 GRADED A+
M M
• Mrs. Andrews asked how a Private Fee-for-
M M M M M M
Service (PFFS) plan might affect her access to services
M M M M M M M M M
since she receives some assistance for her health care c
M M M M M M M M M
osts from the State. What should you tell her?
M M M M M M M M
• Medicaid may provide additional benefits, but Medic
M M M M M M
aid will coordinate benefits only with Medicaid partici
M M M M M M M
pating providers. M
• Mr. Rivera has QMB-
M M M
Plus eligibility and is thus covered by both Medicare and
M M M M M M M M M M
Medicaid. He decides to enroll in a Medicare Advantage (
M M M M M M M M M
MA) plan. Later in the year, Mr. Rivera needs dentures, a s
M M M M M M M M M M M
ervice only covered under Medicaid. What action would y
M M M M M M M M
ou recommend he take in order to have this cost covered?
M M M M M M M M M M
• He should go to a Medicaid provider or obtain the servi
M M M M M M M M M M
ces through a Medicaid manage care plan if he is enroll
M M M M M M M M M M
ed in one
M M
• Ms. Moore plans to retire when she turns 65 in a few mont
M M M M M M M M M M M M
AHIP/NUR Community Exam M M
: Questions and Answers, certified latest update 2022
M M M M M M MMMM
/2023 GRADED A+
M M
