Ahip 2025 final Questions and Correct
Answers
Mrs. Paterson is concerned about the deductibles and co-
payments associated with Original Medicare. What can you tell her about Medigap
as an option to address this concern?
✓ ~~~ Medigap plans help beneficiaries cover Original Medicare benefits, but the
y coordinate with Original Medicare coverage.
Anita Magri will turn age 65 in AugustQ2023. Anita intends to enroll in Original Medic
are Part AQand Part B. She would also like to enroll in a Medicare Supplement (Medi
gap) plan. Anita's older neighbor Mel has told her aboutQthe Medigap Plan F in whic
h he is enrolled. ItQnot only provides foreign travel emergency benefits but also cove
rs his Medicare Part B deductible. Anita comes to you for advice. What should you t
ell her?
✓ ~~~ You are sorry to disappoint Anita, but a Medigap F plan is no longer available
to those who turn age 65 after January 1, 2020. Anita might instead consider othe
r Medigap plans that offer foreign travel benefits but do not cover the Part B dedu
ctible.
What impact, if any, have recent regulatory changes had on Medigap plans?
✓ ~~~ b.
The Part B deductible is no longer covered for individuals newly eligible for Medicare
starting January 1, 2020.
, Mr. Rainey is experiencing paranoid delusions and his physician feels that Qhe shoul
d be hospitalized. What should you tell Mr. Rainey (or his representative) about the
length of an inpatientQpsychiatric hospital stay that Medicare will cover?
✓ ~~~ Medicare will cover a total of 190 days of inpatient psychiatric care during M
r. Rainey's entire lifetime.
Mrs. Shields is covered by Original Medicare. She sustained a hip fracture and is b
eing successfully treated for that condition. However, she and her physicians feel t
hat after her lengthy hospital stay, she will need a month or two of nursing and reh
abilitative care. WhatQshould you tell them about Original Medicare's coverage of ca
re in a skilled nursing facility?
✓ ~~~
Mrs. West wears glasses and dentures and has enjoyed considerable pain relief fr
om arthritis through massage therapy. She is concerned about whether or not QMe
dicare will cover these items and services. What should you tell her?
✓ ~~~ Medicare does not cover massage therapy, or, in general, glasses or dentures.
Ms. Gibson recently lost her employer group health and drug coverage and now she
wants to enroll in a PPO that does not include drug coverage. What should you tell
her about obtaining drug coverage?
✓ ~~~ She can enroll in the PPO, but she will not be able to purchase a stand-
alone Medicare Part D prescription drug plan.
Mrs. Radford asks whether there are any special eligibility requirements for Medicare
Advantage. What should you tell her?
Answers
Mrs. Paterson is concerned about the deductibles and co-
payments associated with Original Medicare. What can you tell her about Medigap
as an option to address this concern?
✓ ~~~ Medigap plans help beneficiaries cover Original Medicare benefits, but the
y coordinate with Original Medicare coverage.
Anita Magri will turn age 65 in AugustQ2023. Anita intends to enroll in Original Medic
are Part AQand Part B. She would also like to enroll in a Medicare Supplement (Medi
gap) plan. Anita's older neighbor Mel has told her aboutQthe Medigap Plan F in whic
h he is enrolled. ItQnot only provides foreign travel emergency benefits but also cove
rs his Medicare Part B deductible. Anita comes to you for advice. What should you t
ell her?
✓ ~~~ You are sorry to disappoint Anita, but a Medigap F plan is no longer available
to those who turn age 65 after January 1, 2020. Anita might instead consider othe
r Medigap plans that offer foreign travel benefits but do not cover the Part B dedu
ctible.
What impact, if any, have recent regulatory changes had on Medigap plans?
✓ ~~~ b.
The Part B deductible is no longer covered for individuals newly eligible for Medicare
starting January 1, 2020.
, Mr. Rainey is experiencing paranoid delusions and his physician feels that Qhe shoul
d be hospitalized. What should you tell Mr. Rainey (or his representative) about the
length of an inpatientQpsychiatric hospital stay that Medicare will cover?
✓ ~~~ Medicare will cover a total of 190 days of inpatient psychiatric care during M
r. Rainey's entire lifetime.
Mrs. Shields is covered by Original Medicare. She sustained a hip fracture and is b
eing successfully treated for that condition. However, she and her physicians feel t
hat after her lengthy hospital stay, she will need a month or two of nursing and reh
abilitative care. WhatQshould you tell them about Original Medicare's coverage of ca
re in a skilled nursing facility?
✓ ~~~
Mrs. West wears glasses and dentures and has enjoyed considerable pain relief fr
om arthritis through massage therapy. She is concerned about whether or not QMe
dicare will cover these items and services. What should you tell her?
✓ ~~~ Medicare does not cover massage therapy, or, in general, glasses or dentures.
Ms. Gibson recently lost her employer group health and drug coverage and now she
wants to enroll in a PPO that does not include drug coverage. What should you tell
her about obtaining drug coverage?
✓ ~~~ She can enroll in the PPO, but she will not be able to purchase a stand-
alone Medicare Part D prescription drug plan.
Mrs. Radford asks whether there are any special eligibility requirements for Medicare
Advantage. What should you tell her?
