PY2027,/.AHIP,/.Module,/.1-5,/.Review,/.&,/.Final
Jason,/.is,/.experiencing,/.paranoid,/.delusions,/.and,/.his,/.physician,/.feels,/.that,/.h
e,/.should,/.be,/.hospitalized.,/.What,/.should,/.you,/.tell,/.Jason,/.(or,/.his,/.representa
tive),/.about,/.the,/.length,/.of,/.an,/.inpatient,/.psychiatric,/.hospital,/.stay,/.that,/.Me
dicare,/.will,/.cover?,/.-,/.correct,/.answer,/.✔ ✔
Medicare,/.will,/.cover,/.a,/.total,/.of,/.190,/.days,/.of,/.inpatient,/.psychiatric,/.care,/.
during,/.Jason's,/.entire,/.lifetime.
Mr.,/.Harvey,/.would,/.like,/.to,/.purchase,/.a,/.Medicare,/.Advantage,/.(MA),/.plan,/.
and,/.a,/.Medigap,/.plan,/.to,/.pick,/.up,/.costs,/.not,/.covered,/.by,/.that,/.plan.,/.What,/.s
hould,/.you,/.tell,/.him?,/.-,/.correct,/.answer,/.✔ ✔
It,/.is,/.illegal,/.for,/.you,/.to,/.sell,/.Mr.,/.Harvey,/.a,/.Medigap,/.plan,/.if,/.he,/.is,/.enroll
ed,/.in,/.an,/.MA,/.plan,,/.and,/.besides,,/.Medigap,/.only,/.works,/.with,/.Original,/.Me
dicare.
Kevin,/.Birch,/.enrolled,/.in,/.Original,/.Medicare,/.(Parts,/.A,/.and,/.B).,/.Mr.,/.Birch,/
.has,/.been,/.receiving,/.rehabilitation,/.services,/.in,/.a,/.skilled,/.nursing,/.facility.,/.
He,/.calls,/.you,/.to,/.say,/.that,/.he,/.has,/.just,/.received,/.a,/.notice,/.that,/.Medicare,/.wi
ll,/.no,/.longer,/.cover,/.his,/.stay,/.and,/.he,/.still,/.cannot,/.walk,/.properly.,/.He,/.think
s,/.they,/.are,/.ending,/.his,/.services,/.too,/.soon.,/.What,/.do,/.you,/.tell,/.him?,/.-
,/.correct,/.answer,/.✔ ✔
, He,/.should,/.follow,/.the,/.directions,/.on,/.the,/.notice,/.to,/.file,/.a,/.fast,/.appeal.,/.M
r.,/.Birch,/.should,/.file,/.it,/.by,/.noon,/.of,/.the,/.calendar,/.day,/.following,/.receipt,/.of,
/.the,/.provider's,/.notice,/.of,/.termination,/.of,/.services.
Mr.,/.Ray,/.would,/.like,/.drug,/.coverage,/.but,/.does,/.not,/.want,/.to,/.be,/.enrolled,/.in,
/.a,/.Medicare,/.Advantage,/.plan.,/.What,/.should,/.you,/.tell,/.him? ,/.-
,/.correct,/.answer,/.✔ ✔ Mr.,/.Ray,/.can,/.enroll,/.in,/.a,/.stand-
alone,/.prescription,/.drug,/.plan,/.and,/.continue,/.to,/.be,/.covered,/.for,/.Part,/.A,/.an
d,/.Part,/.B,/.services,/.through,/.Original,/.Fee-for-Service,/.Medicare.
Mrs.,/.Sanders,/.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,/.sh
e,/.will,/.not,/.qualify,/.for,/.coverage,/.under,/.Part,/.A,/.because,/.she,/.was,/.not,/.born,
/.in,/.the,/.United,/.States.,/.What,/.should,/.you,/.tell,/.her?,/.-,/.correct,/.answer,/.✔
✔
Most,/.individuals,/.who,/.are,/.citizens,/.and,/.age,/.65,/.or,/.over,/.are,/.covered,/.un
der,/.Part,/.A,/.by,/.virtue,/.of,/.having,/.paid,/.Medicare,/.taxes,/.while,/.working,,/.tho
ugh,/.some,/.may,/.be,/.covered,/.as,/.a,/.result,/.of,/.paying,/.monthly,/.premiums.
Mr.,/.Bell,/.is,/.52,/.years,/.old,/.and,/.has,/.recently,/.been,/.diagnosed,/.with,/.end-
stage,/.renal,/.disease,/.(ESRD),/.and,/.will,/.soon,/.begin,/.dialysis.,/.He,/.is,/.wonder
ing,/.if,/.he,/.can,/.obtain,/.coverage,/.under,/.Medicare.,/.What,/.should,/.you,/.tell,/.hi
m?,/.-,/.correct,/.answer,/.✔ ✔
He,/.may,/.sign,/.up,/.for,/.Medicare,/.at,/.any,/.time;,/.however,,/.coverage,/.usuall
y,/.begins,/.on,/.the,/.fourth,/.month,/.after,/.dialysis,/.treatments,/.start.
,Mrs.,/.Larson,/.is,/.enrolled,/.in,/.Original,/.Medicare,/.and,/.has,/.a,/.Medigap,/.polic
y,/.as,/.well,,/.but,/.it,/.provides,/.no,/.drug,/.coverage.,/.She,/.would,/.like,/.to,/.keep,/.th
e,/.coverage,/.she,/.has,/.but,/.replace,/.her,/.existing,/.Medigap,/.plan,/.with,/.one,/.tha
t,/.provides,/.drug,/.coverage.,/.What,/.should,/.you,/.tell,/.her?,/.-,/.correct,/.answer,/.
✔ ✔
Mrs.,/.Larson,/.cannot,/.purchase,/.a,/.Medigap,/.plan,/.that,/.covers,/.drugs,,/.but,/.
she,/.could,/.keep,/.her,/.Medigap,/.policy,/.and,/.enroll,/.in,/.a,/.Part,/.D,/.prescription,/
.drug,/.plan.
What,/.impact,,/.if,/.any,,/.have,/.recent,/.regulatory,/.changes,/.had,/.on,/.Medigap,/.
plans?,/.-,/.correct,/.answer,/.✔ ✔
The,/.Part,/.B,/.deductible,/.is,/.no,/.longer,/.covered,/.for,/.individuals,/.newly,/.eli
gible,/.for,/.Medicare,/.starting,/.January,/.1,,/.2020.
Jane's,/.neighbor,/.told,/.her,/.she,/.should,/.look,/.at,/.her,/.Part,/.D,/.options,/.during,/.t
he,/.annual,/.Medicare,/.enrollment,/.period,/.because,/.the,/.features,/.of,/.Part,/.D,/.
might,/.have,/.changed.,/.Jane,/.can't,/.remember,/.what,/.Part,/.D,/.is,/.so,/.she,/.called,
/.you,/.to,/.ask,/.what,/.her,/.neighbor,/.was,/.talking,/.about.,/.What,/.could,/.you,/.tell,/.
her?,/.-,/.correct,/.answer,/.✔ ✔
Part,/.D,/.covers,/.prescription,/.drugs,/.and,/.she,/.should,/.look,/.at,/.her,/.premiu
ms,,/.formulary,,/.and,/.cost-
sharing,/.among,/.other,/.factors,/.to,/.see,/.if,/.they,/.have,/.changed.
Joan,/.and,/.Loretta,/.are,/.both,/.enrolled,/.in,/.Medicare.,/.Joan,/.pays,/.a,/.premium,/.
for,/.Part,/.A,/.coverage.,/.Loretta,/.does,/.not.,/.Which,/.of,/.the,/.following,/.stateme
, nts,/.best,/.explains,/.this,/.difference?,/.-,/.correct,/.answer,/.✔ ✔
Joan,/.worked,/.only,/.a,/.short,/.time,/.and,/.did,/.not,/.accumulate,/.sufficient,/.wor
k,/.credits.,/.Loretta,/.worked,/.for,/.well,/.over,/.10,/.years,/.accumulating,/.credit,/.f
or,/.more,/.than,/.40,/.quarters,/.of,/.contributions,/.to,/.the,/.Medicare,/.program.
Mary,/.Alice,/.is,/.covered,/.by,/.Original,/.Medicare,/.Parts,/.A,/.and,/.B.,/.During,/.he
r,/.initial,/.enrollment,/.period,/.she,/.purchased,/.a,/.standard,/.Medigap,/.Plan,/.A,/.p
olicy,/.from,/.you,/.because,/.of,/.its,/.relatively,/.low,/.cost.,/.After,/.speaking,/.to,/.he
r,/.friend,/.Stan,,/.she,/.asks,/.whether,/.any,/.of,/.the,/.following,/.are,/."core,/.benefits
",/.covered,/.in,/.her,/.plan?
I.,/.Coverage,/.for,/.Part,/.A,/.hospital,/.coinsurance,/.amount
II.,/.Coverage,/.for,/.365,/.additional,/.days,/.during,/.an,/.insured's,/.lifetime,/.after,/.
Medicare,/.benefits,/.end,/.
III.,/.Coverage,/.for,/.3,/.pints,/.of,/.blood
IV.,/.Coverage,/.for,/.the,/.Part,/.B,/.deductible,/.-,/.correct,/.answer,/.✔ ✔
I,,/.II,,/.and,/.III,/.only
Larry,/.Miller,/.is,/.an,/.Original,/.Medicare,/.beneficiary,/.with,/.Parts,/.A,/.and,/.B,/.c
overage.,/.Larry,/.is,/.admitted,/.to,/.Good,/.Care,/.Hospital,/.in,/.January,/.with,/.pne
umonia,/.and,/.stays,/.for,/.three,/.days,/.before,/.being,/.discharged.,/.Six,/.months,/.l
ater,/.in,/.July,,/.Larry,/.takes,/.a,/.bad,/.fall,/.and,/.is,/.admitted,/.to,/.Good,/.Care,/.Hosp
ital,/.with,/.a,/.broken,/.leg.,/.After,/.emergency,/.surgery,/.to,/.repair,/.his,/.broken,/.le
g,,/.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,/.
Jason,/.is,/.experiencing,/.paranoid,/.delusions,/.and,/.his,/.physician,/.feels,/.that,/.h
e,/.should,/.be,/.hospitalized.,/.What,/.should,/.you,/.tell,/.Jason,/.(or,/.his,/.representa
tive),/.about,/.the,/.length,/.of,/.an,/.inpatient,/.psychiatric,/.hospital,/.stay,/.that,/.Me
dicare,/.will,/.cover?,/.-,/.correct,/.answer,/.✔ ✔
Medicare,/.will,/.cover,/.a,/.total,/.of,/.190,/.days,/.of,/.inpatient,/.psychiatric,/.care,/.
during,/.Jason's,/.entire,/.lifetime.
Mr.,/.Harvey,/.would,/.like,/.to,/.purchase,/.a,/.Medicare,/.Advantage,/.(MA),/.plan,/.
and,/.a,/.Medigap,/.plan,/.to,/.pick,/.up,/.costs,/.not,/.covered,/.by,/.that,/.plan.,/.What,/.s
hould,/.you,/.tell,/.him?,/.-,/.correct,/.answer,/.✔ ✔
It,/.is,/.illegal,/.for,/.you,/.to,/.sell,/.Mr.,/.Harvey,/.a,/.Medigap,/.plan,/.if,/.he,/.is,/.enroll
ed,/.in,/.an,/.MA,/.plan,,/.and,/.besides,,/.Medigap,/.only,/.works,/.with,/.Original,/.Me
dicare.
Kevin,/.Birch,/.enrolled,/.in,/.Original,/.Medicare,/.(Parts,/.A,/.and,/.B).,/.Mr.,/.Birch,/
.has,/.been,/.receiving,/.rehabilitation,/.services,/.in,/.a,/.skilled,/.nursing,/.facility.,/.
He,/.calls,/.you,/.to,/.say,/.that,/.he,/.has,/.just,/.received,/.a,/.notice,/.that,/.Medicare,/.wi
ll,/.no,/.longer,/.cover,/.his,/.stay,/.and,/.he,/.still,/.cannot,/.walk,/.properly.,/.He,/.think
s,/.they,/.are,/.ending,/.his,/.services,/.too,/.soon.,/.What,/.do,/.you,/.tell,/.him?,/.-
,/.correct,/.answer,/.✔ ✔
, He,/.should,/.follow,/.the,/.directions,/.on,/.the,/.notice,/.to,/.file,/.a,/.fast,/.appeal.,/.M
r.,/.Birch,/.should,/.file,/.it,/.by,/.noon,/.of,/.the,/.calendar,/.day,/.following,/.receipt,/.of,
/.the,/.provider's,/.notice,/.of,/.termination,/.of,/.services.
Mr.,/.Ray,/.would,/.like,/.drug,/.coverage,/.but,/.does,/.not,/.want,/.to,/.be,/.enrolled,/.in,
/.a,/.Medicare,/.Advantage,/.plan.,/.What,/.should,/.you,/.tell,/.him? ,/.-
,/.correct,/.answer,/.✔ ✔ Mr.,/.Ray,/.can,/.enroll,/.in,/.a,/.stand-
alone,/.prescription,/.drug,/.plan,/.and,/.continue,/.to,/.be,/.covered,/.for,/.Part,/.A,/.an
d,/.Part,/.B,/.services,/.through,/.Original,/.Fee-for-Service,/.Medicare.
Mrs.,/.Sanders,/.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,/.sh
e,/.will,/.not,/.qualify,/.for,/.coverage,/.under,/.Part,/.A,/.because,/.she,/.was,/.not,/.born,
/.in,/.the,/.United,/.States.,/.What,/.should,/.you,/.tell,/.her?,/.-,/.correct,/.answer,/.✔
✔
Most,/.individuals,/.who,/.are,/.citizens,/.and,/.age,/.65,/.or,/.over,/.are,/.covered,/.un
der,/.Part,/.A,/.by,/.virtue,/.of,/.having,/.paid,/.Medicare,/.taxes,/.while,/.working,,/.tho
ugh,/.some,/.may,/.be,/.covered,/.as,/.a,/.result,/.of,/.paying,/.monthly,/.premiums.
Mr.,/.Bell,/.is,/.52,/.years,/.old,/.and,/.has,/.recently,/.been,/.diagnosed,/.with,/.end-
stage,/.renal,/.disease,/.(ESRD),/.and,/.will,/.soon,/.begin,/.dialysis.,/.He,/.is,/.wonder
ing,/.if,/.he,/.can,/.obtain,/.coverage,/.under,/.Medicare.,/.What,/.should,/.you,/.tell,/.hi
m?,/.-,/.correct,/.answer,/.✔ ✔
He,/.may,/.sign,/.up,/.for,/.Medicare,/.at,/.any,/.time;,/.however,,/.coverage,/.usuall
y,/.begins,/.on,/.the,/.fourth,/.month,/.after,/.dialysis,/.treatments,/.start.
,Mrs.,/.Larson,/.is,/.enrolled,/.in,/.Original,/.Medicare,/.and,/.has,/.a,/.Medigap,/.polic
y,/.as,/.well,,/.but,/.it,/.provides,/.no,/.drug,/.coverage.,/.She,/.would,/.like,/.to,/.keep,/.th
e,/.coverage,/.she,/.has,/.but,/.replace,/.her,/.existing,/.Medigap,/.plan,/.with,/.one,/.tha
t,/.provides,/.drug,/.coverage.,/.What,/.should,/.you,/.tell,/.her?,/.-,/.correct,/.answer,/.
✔ ✔
Mrs.,/.Larson,/.cannot,/.purchase,/.a,/.Medigap,/.plan,/.that,/.covers,/.drugs,,/.but,/.
she,/.could,/.keep,/.her,/.Medigap,/.policy,/.and,/.enroll,/.in,/.a,/.Part,/.D,/.prescription,/
.drug,/.plan.
What,/.impact,,/.if,/.any,,/.have,/.recent,/.regulatory,/.changes,/.had,/.on,/.Medigap,/.
plans?,/.-,/.correct,/.answer,/.✔ ✔
The,/.Part,/.B,/.deductible,/.is,/.no,/.longer,/.covered,/.for,/.individuals,/.newly,/.eli
gible,/.for,/.Medicare,/.starting,/.January,/.1,,/.2020.
Jane's,/.neighbor,/.told,/.her,/.she,/.should,/.look,/.at,/.her,/.Part,/.D,/.options,/.during,/.t
he,/.annual,/.Medicare,/.enrollment,/.period,/.because,/.the,/.features,/.of,/.Part,/.D,/.
might,/.have,/.changed.,/.Jane,/.can't,/.remember,/.what,/.Part,/.D,/.is,/.so,/.she,/.called,
/.you,/.to,/.ask,/.what,/.her,/.neighbor,/.was,/.talking,/.about.,/.What,/.could,/.you,/.tell,/.
her?,/.-,/.correct,/.answer,/.✔ ✔
Part,/.D,/.covers,/.prescription,/.drugs,/.and,/.she,/.should,/.look,/.at,/.her,/.premiu
ms,,/.formulary,,/.and,/.cost-
sharing,/.among,/.other,/.factors,/.to,/.see,/.if,/.they,/.have,/.changed.
Joan,/.and,/.Loretta,/.are,/.both,/.enrolled,/.in,/.Medicare.,/.Joan,/.pays,/.a,/.premium,/.
for,/.Part,/.A,/.coverage.,/.Loretta,/.does,/.not.,/.Which,/.of,/.the,/.following,/.stateme
, nts,/.best,/.explains,/.this,/.difference?,/.-,/.correct,/.answer,/.✔ ✔
Joan,/.worked,/.only,/.a,/.short,/.time,/.and,/.did,/.not,/.accumulate,/.sufficient,/.wor
k,/.credits.,/.Loretta,/.worked,/.for,/.well,/.over,/.10,/.years,/.accumulating,/.credit,/.f
or,/.more,/.than,/.40,/.quarters,/.of,/.contributions,/.to,/.the,/.Medicare,/.program.
Mary,/.Alice,/.is,/.covered,/.by,/.Original,/.Medicare,/.Parts,/.A,/.and,/.B.,/.During,/.he
r,/.initial,/.enrollment,/.period,/.she,/.purchased,/.a,/.standard,/.Medigap,/.Plan,/.A,/.p
olicy,/.from,/.you,/.because,/.of,/.its,/.relatively,/.low,/.cost.,/.After,/.speaking,/.to,/.he
r,/.friend,/.Stan,,/.she,/.asks,/.whether,/.any,/.of,/.the,/.following,/.are,/."core,/.benefits
",/.covered,/.in,/.her,/.plan?
I.,/.Coverage,/.for,/.Part,/.A,/.hospital,/.coinsurance,/.amount
II.,/.Coverage,/.for,/.365,/.additional,/.days,/.during,/.an,/.insured's,/.lifetime,/.after,/.
Medicare,/.benefits,/.end,/.
III.,/.Coverage,/.for,/.3,/.pints,/.of,/.blood
IV.,/.Coverage,/.for,/.the,/.Part,/.B,/.deductible,/.-,/.correct,/.answer,/.✔ ✔
I,,/.II,,/.and,/.III,/.only
Larry,/.Miller,/.is,/.an,/.Original,/.Medicare,/.beneficiary,/.with,/.Parts,/.A,/.and,/.B,/.c
overage.,/.Larry,/.is,/.admitted,/.to,/.Good,/.Care,/.Hospital,/.in,/.January,/.with,/.pne
umonia,/.and,/.stays,/.for,/.three,/.days,/.before,/.being,/.discharged.,/.Six,/.months,/.l
ater,/.in,/.July,,/.Larry,/.takes,/.a,/.bad,/.fall,/.and,/.is,/.admitted,/.to,/.Good,/.Care,/.Hosp
ital,/.with,/.a,/.broken,/.leg.,/.After,/.emergency,/.surgery,/.to,/.repair,/.his,/.broken,/.le
g,,/.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,/.
