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SAUNDERS COMPREHENSIVE REVIEW FOR NCLEX-RN EXAMINATION /SET OF QUESTIONS AND CORRECTLY EXPLAINED ANSWERS

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SAUNDERS COMPREHENSIVE REVIEW FOR NCLEX-RN EXAMINATION /SET OF QUESTIONS AND CORRECTLY EXPLAINED ANSWERS

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1


AHIP 2025 FINAL EXAM QUESTIONS AND CORRECT
ANSWERS ALREADY GRADED A+ GUARANTEED SUCCESS


Madeline Martinez was widowed several years ago. Her husband worked for many
years and contributed into the Medicare system. He also left a substantial estate
which provides Madeline with an annual income of approximately $130,000.
Madeline, who has only worked part-time for the last three years, will soon turn
age 65 and hopes to enroll in Original Medicare. She comes to you for advice.
What should you tell her?
You should tell Madeline that she will be able to enroll in Medicare Part A without
paying monthly premiums due to her husband's long work record and participation
in the Medicare system. You should also tell Madeline that she will pay Part B
premiums at more than the standard lowest rate but less than the highest rate due
her substantial income.


Mr. Bauer is 49 years old, but eighteen months ago he was declared disabled by the
Social Security Administration and has been receiving disability payments. He is
wondering whether he can obtain coverage under Medicare. What should you tell
him
After receiving such disability payments for 24 months, he will be automatically
enrolled in Medicare, regardless of age.


Mr. Castillo, a naturalized citizen, previously enrolled in Medicare Part B but has
recently stopped paying his Part B premium. Mr. Castillo is still covered by Part A.
He would like to enroll in a Medicare Advantage (MA) plan and is still covered by
Part A. What should you tell him?
He is not eligible to enroll in a Medicare Advantage plan until he re-enrolls in
Medicare Part B.


Mrs. Reeves is newly eligible to enroll in a Medicare Advantage plan and her MA
Initial Coverage Election Period (ICEP) has just begun. Which of the following
can she not do during the ICEP?

AHIP (VERIFIED)

, 2


She can enroll in a Medigap plan to supplement the benefits of the MA plan that
she's also enrolling in


Mr. Barker enjoys a comfortable retirement income. He recently had surgery and
expected that he would have certain services and items covered by the plan with
minimal out-of-pocket costs because his MA-PD coverage has been very good.
However, when he received the bill, he was surprised to see large charges in excess
of his maximum out-of-pocket limit that included some services and items he
thought would be fully covered. He called you to ask what he could do? What
could you tell him?
You can offer to review the plans appeal process to help him ask the plan to review
the coverage decision.




Mrs. Park is an elderly retiree. Mrs. Park has a low fixed income. What could you
tell Mrs. Park that might be of assistance?
She should contact her state Medicaid agency to see if she qualifies forprograms
that can help with Medicare costs for which she is responsible.


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?
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.
We have an expert-written solution to this problem!




AHIP (VERIFIED)

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