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Final Exam - Attempt 1
Question1
Marks: 1
Mrs. Roberts has Original Medicare and would like to enroll in a Private
Fee-for-Service (PFFS) plan. All types of PFFS plans are available in her
area. Which options could Mrs. Roberts consider before selecting a PFFS
plan?
Choose one answer.
a. A Medicare Advantage Prescription Drug (MA-PD) PFFS plan that combin
benefits and Part D prescription drug coverage, a PFFS plan offering only m
benefits, or a PFFS plan in combination with a stand-alone prescription drug
b. A stand-alone prescription drug plan in combination with a PFFS plan or a
Medigap Supplemental Insurance plan.
c. A PFFS plan offering only medical benefits or a PFFS Medigap Suppleme
Insurance plan.
d. A Medicare Advantage Prescription Drug (MA-PD) PFFS plan that combin
benefits and Part D prescription drug coverage, a PFFS plan offering only m
benefits, or PFFS Medigap Supplemental Insurance plan.
Question2
Marks: 1
Mr. Wong is a single individual. He has had a successful business career
and is now able to retire with a comfortable income. Mr. Wong's taxable
income is in excess of $100,000. Mr. Wong
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has health coverage through his employer but will sign-up Medicare Part A,
Part B and Part D when he leaves the workforce. How would you advise
him as he budgets for Medicare premiums?
Choose one answer.
a. Due to his participation in the workforce he will not have to pay prem
A and he will pay the lowest monthly premium rates for Part B and Par
b. Due to his participation in the workforce he will not have to pay prem
A and will pay reduced premiums for Part B and Part D.
c. Due to the provisions of MACRA, his Part B and D coverage will be
covered through a low-cost Medigap policy to supplement his Part A co
d. Due to his participation in the workforce he will not have to pay prem
A but he will pay higher premiums for Part B and Part D due to the am
income.
Question3
Marks: 1
Daniel is a middle-income Medicare beneficiary. He has chronic bronchitis,
putting him at severe risk for pneumonia. Otherwise, he has no problems
functioning. Which type of SNP is likely to be most appropriate for him?
Choose one answer.
a. D-SNP
b. C-SNP
c. FIDE-SNP
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Question4
Marks: 1
You are doing a sales presentation for Ms. Duarte and her son. Ms.
Duarte has some cognitive impairment and her son informs you that he has
power of attorney to make financial decisions for her. Can he execute the
enrollment for her?
Choose one answer.
a. No, he cannot execute the enrollment for her. Only Ms. Duarte can sig
regardless of her mental capacities.
b. Yes, he can execute the enrollment for her. He can do so because he
immediate family member. No power of attorney is necessary.
c. Yes, he can execute the enrollment for her. A financial power of attorne
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d. No, he cannot execute the enrollment for her. He must have a legal au
under state law that explicitly allows him to make health care decisions fo
Question5
Marks: 1
Mr. Jacob understands that there is a standard Medicare Part D
prescription drug benefit, but when he looks at information on various
plans available in his area, he sees a wide range in what they charge for
deductibles, premiums, and cost sharing. How can you explain this to
him?
Choose one answer.
a. The Part D standard model’s importance is that it is the only type of p
low-income beneficiaries can enroll and still receive any extra help for w
qualify.
b. The government allows Part D plans to adopt any benefit structure as
of covered drugs meets their approval.
c. The government bases its payments to Part D plans on the standard b
For Part D plans to receive the full government payment, they must offer
model, however, they can take a risk and revise their benefit structure to
beneficiaries.
d. Medicare Part D drug plans may have different benefit structures, but
they must all be at least as good as the standard model established by th
Question6