Module 1 2027 with actual solutions
, Mary Alice is covered by Original Medicare Parts A and B. During her initial
enrollment period she purchased a standard Medigap Plan A policy from you
because of its relatively low cost. After speaking to her friend Stan, she asks
whether any of the following are "core benefits" covered in her plan?I.
Coverage for Part A hospital coinsurance amountII. Coverage for 365
additional days during an insured's lifetime after Medicare benefits end III.
Coverage for 3 pints of bloodIV. Coverage for the Part B deductible - correct
ans:I, II, and III only
Larry Miller is an Original Medicare beneficiary with Parts A and B coverage.
Larry is admitted to Good Care Hospital in January with pneumonia and stays
for three days before being discharged. Six months later in July, Larry takes a
bad fall and is admitted to Good Care Hospital with a broken leg. After
emergency surgery to repair his broken leg, Larry is hospitalized for a week
before being discharged home. In December, Larry is admitted to Mount
Wellness Hospital once again with a serious case of the flu. For how many
Part A deductibles will Larry be responsible for? - correct ans:Larry will be
responsible for three Part A deductibles.
Lucas Fields, who is turning age 65 next month, intends to work for several
more years at Smallcap, Incorporated. Smallcap has a workforce of 15
employees and offers employer-sponsored healthcare coverage. Lucas is a
naturalized citizen and has contributed to the Medicare system for over 20
years. Lucas 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? - correct ans:Lucas 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 and would become a secondary payor.
Mr. Turner 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.
Turner that best describes the health coverage provided to Medicare
beneficiaries? - correct ans:Beneficiaries under Original Medicare have no
cost-sharing for most preventive services.
, Mary Alice is covered by Original Medicare Parts A and B. During her initial
enrollment period she purchased a standard Medigap Plan A policy from you
because of its relatively low cost. After speaking to her friend Stan, she asks
whether any of the following are "core benefits" covered in her plan?I.
Coverage for Part A hospital coinsurance amountII. Coverage for 365
additional days during an insured's lifetime after Medicare benefits end III.
Coverage for 3 pints of bloodIV. Coverage for the Part B deductible - correct
ans:I, II, and III only
Larry Miller is an Original Medicare beneficiary with Parts A and B coverage.
Larry is admitted to Good Care Hospital in January with pneumonia and stays
for three days before being discharged. Six months later in July, Larry takes a
bad fall and is admitted to Good Care Hospital with a broken leg. After
emergency surgery to repair his broken leg, Larry is hospitalized for a week
before being discharged home. In December, Larry is admitted to Mount
Wellness Hospital once again with a serious case of the flu. For how many
Part A deductibles will Larry be responsible for? - correct ans:Larry will be
responsible for three Part A deductibles.
Lucas Fields, who is turning age 65 next month, intends to work for several
more years at Smallcap, Incorporated. Smallcap has a workforce of 15
employees and offers employer-sponsored healthcare coverage. Lucas is a
naturalized citizen and has contributed to the Medicare system for over 20
years. Lucas 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? - correct ans:Lucas 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 and would become a secondary payor.
Mr. Turner 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.
Turner that best describes the health coverage provided to Medicare
beneficiaries? - correct ans:Beneficiaries under Original Medicare have no
cost-sharing for most preventive services.
