COMMUNITY HEALTH PROCTORED
EXAM 7 VERSIONS 2026 2027 VERIFIED
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FOR NURSING SUCCESS GRADED A+
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? Correct Ans
- He may sign-up for Medicare at any time however coverage
usually begins on the fourth month after dialysis 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 contributed to the
Medicare system for over 20
years. Juan asks you if he will be entitled to Medicare and if he enrolls how
that will impact his employer-sponsored healthcare coverage. How would you
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respond? Correct An s - Juan is likely to be eligible for Medicare once he
turns age 65 and if he enrolls Medicare would become the primary payor of his healthcare
claims and Smallcap does not have to continue to offer him coverage comparable to those
under age 65 under its employer-sponsored
group health plan.
.
Mr. Moy's wife has a Medicare Advantage plan, but he wants to understand what coverage
Medicare Supplemental Insurance provides since his health care needs are different from
his wife's needs. What could
you tell Mr. Moy? Correct Ans - Medicare
Supplemental Insurance would help cover his Part A and Part B deductibles or coinsurance in
Original Fee-for-Service (FFS) Medicare as well as possibly
some services that Medicare does not cover.
Mrs. Peňa 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 ensure no gap in coverage. What can you tell her? Correct Ans -
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 planthat differs from the standard general enrollment period, during which
she may enroll in Medicare Part B.
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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? Correct Ans
- M ost individuals who are citizens and age 65
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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.
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?
Correct Ans - 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
relief from arthritis through massage therapy. She is concernedabout
whether or not Medicare will cover these items and services. What should
you tell her? Correct Ans - 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 might be exposed to under Medicare if he were to require hospitalization
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