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Exam (elaborations)

NURSING .412 AHIP EXAM QUESTIONS AND ANSWERS ASSURED SUCCESS GRADED A.

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NURSING .412 AHIP EXAM QUESTIONS AND ANSWERS ASSURED SUCCESS GRADED A.

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NURSING 412 AHIP EXAM QUESTIONS
AND ANSWERS ASSURED SUCCESS
GRADED A+
.


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? ✓✓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 as a result of an
illness. 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 would be 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 years and paying Medicare
taxes. What should you tell her? ✓✓To obtain Part B coverage, she



NURSING

,NURSING 412 AHIP EXAM QUESTIONS
AND ANSWERS ASSURED SUCCESS
GRADED A+
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 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 respond? ✓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

NURSING

,NURSING 412 AHIP EXAM QUESTIONS
AND ANSWERS ASSURED SUCCESS
GRADED A+
provides since his health care needs are different from his wife's
needs. What could you tell Mr. Moy? ✓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.


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 MedicarePart D prescription drug plan.
What should you tell him? ✓✓He generally would pay a monthly
premium, annual deductible, and per-prescription cost-sharing.




NURSING

, NURSING 412 AHIP EXAM QUESTIONS
AND ANSWERS ASSURED SUCCESS
GRADED A+
Ms. Moore plans to retire when she turns 65 in a few months.
She is in excellent health and will have considerable income
when she retires. She is concerned that her income will make it
impossible for her to qualify for Medicare. What could you tell
her to address her concern? ✓✓Medicare is a program for
people age 65 or older and those under age 65 with certain
disabilities, end-stage renal disease, and Lou Gehrig's disease
so she will be eligible for Medicare.


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? ✓✓Beneficiaries under Original Medicare
have no cost-sharing for most preventive services which include
immunizations such as annual flu shots.


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 ensure no 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 eightmonth
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.



NURSING

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