Ahip 2025 Module 1
1. Anita Magri will turn age 65 in August 2023. Anita intends to enroll in Original Medicare
Part A and Part B. She would additionally like to enroll in a Medicare Supplement
(Medigap) plan. Anita's older neighbor Mel has informed her approximately the Medigap
Plan F in which he's enrolled. It now not most effective provides overseas journey
emergency advantages but additionally covers his Medicare Part B deductible. Anita
comes to you for recommendation. What need to you inform her? - ANS-You are sorry to
disappoint Anita, but a Medigap F plan is not available to folks that turn age 65 after
January 1, 2020. Anita would possibly rather don't forget other Medigap plans that offer
foreign travel blessings but do not cover the Part B deductible.
2. Mr. Alonso gets some help deciding to buy his familiar pharmaceuticals from his
organization's retiree coverage, however he desires to compare it to a Part D
prescription drug plan. He asks you what prices he would commonly expect to come
across when enrolling right into a trendy Medicare Part D prescription drug plan. What
have to you tell him? - ANS-He usually would pay a month-to-month top rate, annual
deductible, and in line with-prescription fee sharing.
3. Mr. Davis is 52 years antique and has recently been recognized with end-degree renal
ailment (ESRD) and will soon start dialysis. He is thinking if he can gain insurance
beneath Medicare. What have to you tell him? - ANS-He may additionally sign up for
Medicare at any time however coverage typically starts offevolved at the fourth month
after dialysis remedy
4. Mr. Diaz persisted operating along with his organization and changed into insured
underneath his enterprise's institution plan until he reached age 68. He has heard that
there's a top rate penalty for folks that did not sign on for Part B when first eligible and
wants to recognise how a great deal he'll ought to pay. What ought to you inform him? -
ANS-Mr. Diaz will now not pay any penalty because he had continuous insurance
underneath his organisation's plan.
5. Mr. Patel is in exact health and is making ready a price range in anticipation of his
retirement whilst he turns sixty six. He wants to apprehend the health care prices he is
probably uncovered to beneath Medicare if he were to require hospitalization because of
an infection. In general terms, what ought to you tell him approximately his prices for
inpatient medical institution services underneath Original Medicare? - ANS-Under
Original Medicare, there's a single deductible quantity due for the primary 60 days of any
inpatient sanatorium live, after which it converts right into a in step with-day coinsurance
amount through day ninety. After day ninety, he might pay a each day quantity as much
as 60 days over his lifetime, after which he would be responsible for all costs.
6. Mr. Rainey is experiencing paranoid delusions and his medical doctor feels that he need
to be hospitalized. What should you inform Mr. Rainey (or his consultant) about the
duration of an inpatient psychiatric medical institution stay that Medicare will cover? -
1. Anita Magri will turn age 65 in August 2023. Anita intends to enroll in Original Medicare
Part A and Part B. She would additionally like to enroll in a Medicare Supplement
(Medigap) plan. Anita's older neighbor Mel has informed her approximately the Medigap
Plan F in which he's enrolled. It now not most effective provides overseas journey
emergency advantages but additionally covers his Medicare Part B deductible. Anita
comes to you for recommendation. What need to you inform her? - ANS-You are sorry to
disappoint Anita, but a Medigap F plan is not available to folks that turn age 65 after
January 1, 2020. Anita would possibly rather don't forget other Medigap plans that offer
foreign travel blessings but do not cover the Part B deductible.
2. Mr. Alonso gets some help deciding to buy his familiar pharmaceuticals from his
organization's retiree coverage, however he desires to compare it to a Part D
prescription drug plan. He asks you what prices he would commonly expect to come
across when enrolling right into a trendy Medicare Part D prescription drug plan. What
have to you tell him? - ANS-He usually would pay a month-to-month top rate, annual
deductible, and in line with-prescription fee sharing.
3. Mr. Davis is 52 years antique and has recently been recognized with end-degree renal
ailment (ESRD) and will soon start dialysis. He is thinking if he can gain insurance
beneath Medicare. What have to you tell him? - ANS-He may additionally sign up for
Medicare at any time however coverage typically starts offevolved at the fourth month
after dialysis remedy
4. Mr. Diaz persisted operating along with his organization and changed into insured
underneath his enterprise's institution plan until he reached age 68. He has heard that
there's a top rate penalty for folks that did not sign on for Part B when first eligible and
wants to recognise how a great deal he'll ought to pay. What ought to you inform him? -
ANS-Mr. Diaz will now not pay any penalty because he had continuous insurance
underneath his organisation's plan.
5. Mr. Patel is in exact health and is making ready a price range in anticipation of his
retirement whilst he turns sixty six. He wants to apprehend the health care prices he is
probably uncovered to beneath Medicare if he were to require hospitalization because of
an infection. In general terms, what ought to you tell him approximately his prices for
inpatient medical institution services underneath Original Medicare? - ANS-Under
Original Medicare, there's a single deductible quantity due for the primary 60 days of any
inpatient sanatorium live, after which it converts right into a in step with-day coinsurance
amount through day ninety. After day ninety, he might pay a each day quantity as much
as 60 days over his lifetime, after which he would be responsible for all costs.
6. Mr. Rainey is experiencing paranoid delusions and his medical doctor feels that he need
to be hospitalized. What should you inform Mr. Rainey (or his consultant) about the
duration of an inpatient psychiatric medical institution stay that Medicare will cover? -
