AHIP 2025 MODULE'S 1- QUESTIONS WITH
DETAILED VERIFIED ANSWERS / ALREADY GRADED
A / 2025
Terms in this set (100)
Mr. Alonso receives some He generally would pay a monthly premium, annual deductible, and
help paying for his two per-prescription cost-sharing.
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 Medicare Part
D prescription drug plan.
What should you tell him?
,Mrs. Shields is covered by Medicare will cover Mrs. Shield's skilled nursing services
Original Medicare. She provided during the first 20 days of her stay, after which she
sustained a hip fracture and would have a copay until she has been in the facility for 100
is being successfully treated days.
for that condition. However,
she and her physicians feel
that after her lengthy
hospital stay, she will need a
month or two of nursing and
rehabilitative care. What
should you tell them about
Original Medicare's coverage
of care in a skilled nursing
facility?
Mr. Xi will soon turn age 65 Beneficiaries under Original Medicare have no costsharing for
and has come to you for most preventive services.
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?
, Most individuals who are citizens and age 65 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
Mrs. Chen will be 65 soon,
paying monthly premiums.
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?
Mr. Davis is 52 years old and He may sign-up for Medicare at any time however
has recently been diagnosed coverage usually begins on the fourth month after
with end-stage renal disease dialysis treatments start.
(ESRD) and will soon begin
dialysis. He is wondering if
he can obtain coverage
under Medicare. What
should you tell him?
, Mr. Patel is in good health Under Original Medicare, there is a single deductible amount
and is preparing a budget in due for the first 60 days of any inpatient hospital stay, after
which it converts into a per-day coinsurance amount through
anticipation of his retirement
day 90. After day 90, he would pay a daily amount up to 60
when he turns days over his lifetime, after which he would be responsible for
66. He wants to understand all costs.
the health care costs he
might be exposed to under
Medicare if he were to
require hospitalization
because of an illness. In
general terms, what could
you tell him about his costs
for inpatient hospital services
under Original Medicare?
Mrs. Gonzalez cannot purchase a Medigap plan that covers
drugs, but she could keep her Medigap policy and enroll in a
Mrs. Gonzalez is enrolled in Part D prescription drug plan.
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?
DETAILED VERIFIED ANSWERS / ALREADY GRADED
A / 2025
Terms in this set (100)
Mr. Alonso receives some He generally would pay a monthly premium, annual deductible, and
help paying for his two per-prescription cost-sharing.
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 Medicare Part
D prescription drug plan.
What should you tell him?
,Mrs. Shields is covered by Medicare will cover Mrs. Shield's skilled nursing services
Original Medicare. She provided during the first 20 days of her stay, after which she
sustained a hip fracture and would have a copay until she has been in the facility for 100
is being successfully treated days.
for that condition. However,
she and her physicians feel
that after her lengthy
hospital stay, she will need a
month or two of nursing and
rehabilitative care. What
should you tell them about
Original Medicare's coverage
of care in a skilled nursing
facility?
Mr. Xi will soon turn age 65 Beneficiaries under Original Medicare have no costsharing for
and has come to you for most preventive services.
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?
, Most individuals who are citizens and age 65 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
Mrs. Chen will be 65 soon,
paying monthly premiums.
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?
Mr. Davis is 52 years old and He may sign-up for Medicare at any time however
has recently been diagnosed coverage usually begins on the fourth month after
with end-stage renal disease dialysis treatments start.
(ESRD) and will soon begin
dialysis. He is wondering if
he can obtain coverage
under Medicare. What
should you tell him?
, Mr. Patel is in good health Under Original Medicare, there is a single deductible amount
and is preparing a budget in due for the first 60 days of any inpatient hospital stay, after
which it converts into a per-day coinsurance amount through
anticipation of his retirement
day 90. After day 90, he would pay a daily amount up to 60
when he turns days over his lifetime, after which he would be responsible for
66. He wants to understand all costs.
the health care costs he
might be exposed to under
Medicare if he were to
require hospitalization
because of an illness. In
general terms, what could
you tell him about his costs
for inpatient hospital services
under Original Medicare?
Mrs. Gonzalez cannot purchase a Medigap plan that covers
drugs, but she could keep her Medigap policy and enroll in a
Mrs. Gonzalez is enrolled in Part D prescription drug plan.
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?
