2025-EXAM QUESTION/TEST WITH SOLVED SOLUTIONS
Mr. Rainey is experiencing paranoid delusions and his physician feels that he should be
hospitalized. What should you tell Mr. Rainey (or his representative) about the length of an
inpatient psychiatric hospital stay that Medicare will cover?
Question 1Answera.Medicare will cover a total of 190 days of inpatient psychiatric care during
Mr. Rainey's entire lifetime.b.Medicare will cover, at its allowable amount, as many stays as are
needed throughout Mr. Rainey's life, as long as no single stay exceeds 190 days.c.Medicare
inpatient psychiatric coverage is limited to the same number of days covered for typical
inpatient stays.d.Inpatient psychiatric services are not covered under Original Medicare. -
answers✔✔a
Mrs. Geisler's neighbor told her she should look at her Part D options during the annual
Medicare enrollment period because the features of Part D might have changed. Mrs. Geisler
can't remember what Part D is so she called you to ask what her neighbor was talking about.
What could you tell her?
Question 2Answera.Part D covers prescription drugs and she should look at her premiums,
formulary, and cost-sharing among other factors to see if they have changed.b.Part D covers
physician and non-physician practitioner services and the deductible has not changed this year,
but the physician charges may go up.c.Part D covers long-term care services, and she should not
worry because there has been no change in coverage. d.Part D covers hospital and home health
services and the cost-sharing has changed this year. - answers✔✔a
Mrs. Gonzalez is enrolled in 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?
Question 3Answera.Medigap is a replacement for Original Medicare and she has been paying
for double coverage. She should simply drop her Medigap policy.b.Mrs. Gonzalez cannot
purchase a Medigap plan that covers drugs, but she could keep her Medigap policy and enroll in
a Part D prescription drug plan.c.Mrs. Gonzalez can purchase a Medigap plan that covers drugs,
but it likely will not offer coverage that is equivalent to that provided under Part D.d.Mrs.
Gonzalez should purchase a K or L Medigap plan. - answers✔✔b
Mr. Rainey is experiencing paranoid delusions and his physician feels that he should be
hospitalized. What should you tell Mr. Rainey (or his representative) about the length of an
inpatient psychiatric hospital stay that Medicare will cover?
Question 1Answera.Medicare will cover a total of 190 days of inpatient psychiatric care during
Mr. Rainey's entire lifetime.b.Medicare will cover, at its allowable amount, as many stays as are
needed throughout Mr. Rainey's life, as long as no single stay exceeds 190 days.c.Medicare
inpatient psychiatric coverage is limited to the same number of days covered for typical
inpatient stays.d.Inpatient psychiatric services are not covered under Original Medicare. -
answers✔✔a
Mrs. Geisler's neighbor told her she should look at her Part D options during the annual
Medicare enrollment period because the features of Part D might have changed. Mrs. Geisler
can't remember what Part D is so she called you to ask what her neighbor was talking about.
What could you tell her?
Question 2Answera.Part D covers prescription drugs and she should look at her premiums,
formulary, and cost-sharing among other factors to see if they have changed.b.Part D covers
physician and non-physician practitioner services and the deductible has not changed this year,
but the physician charges may go up.c.Part D covers long-term care services, and she should not
worry because there has been no change in coverage. d.Part D covers hospital and home health
services and the cost-sharing has changed this year. - answers✔✔a
Mrs. Gonzalez is enrolled in 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?
Question 3Answera.Medigap is a replacement for Original Medicare and she has been paying
for double coverage. She should simply drop her Medigap policy.b.Mrs. Gonzalez cannot
purchase a Medigap plan that covers drugs, but she could keep her Medigap policy and enroll in
a Part D prescription drug plan.c.Mrs. Gonzalez can purchase a Medigap plan that covers drugs,
but it likely will not offer coverage that is equivalent to that provided under Part D.d.Mrs.
Gonzalez should purchase a K or L Medigap plan. - answers✔✔b
