Ahip 2026 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 August 2023. Anita intends to enroll in Original Medic
are Part A and Part B. She would also like to enroll in a Medicare Supplement (Medi
gap) plan. Anita's older neighbor Mel has told her about the Medigap Plan F in whic
h he is enrolled. It not 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 he shoul
d be hospitalized. What should you tell Mr. Rainey (or his representative) about the
length of an inpatient psychiatric 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. What should you tell them about Original Medicare's coverage of ca
re in a skilled nursing facility?
~~~
Mrs.xWestxwearsxglassesxandxdenturesx andxhasxenjoyedxconsiderablexpainxreliefx fr
omx arthritisx throughx massagex therapy.x Shex isx concernedx aboutx whetherxorxnotx Me
dicarex willx coverx thesex itemsxandxservices.x Whatx shouldx youx tellx her?
~~~x Medicarex doesx notx coverx massagex therapy,x or,x inx general,x glassesx orx dentures.
Ms.x Gibsonxrecentlyxlostx herxemployerxgroupxhealthxandxdrugxcoveragexandxnowxshe
wantsxtox enrollx inx ax PPOx thatx doesx notx includex drugx coverage.xWhatx shouldx youx tell
herx aboutx obtainingx drugx coverage?
~~~x Shexcanx enrollx inx thex PPO,x butx shexwillxnotx bex ablex tox purchasex ax stand-
alonex Medicarex Partx Dx prescriptionx drugx plan.
Mrs.xRadfordxasksxwhetherxtherexarexanyxspecialxeligibilityxrequirementsxforxMedicare
Advantage.xWhatx shouldx youx tellx 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 August 2023. Anita intends to enroll in Original Medic
are Part A and Part B. She would also like to enroll in a Medicare Supplement (Medi
gap) plan. Anita's older neighbor Mel has told her about the Medigap Plan F in whic
h he is enrolled. It not 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 he shoul
d be hospitalized. What should you tell Mr. Rainey (or his representative) about the
length of an inpatient psychiatric 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. What should you tell them about Original Medicare's coverage of ca
re in a skilled nursing facility?
~~~
Mrs.xWestxwearsxglassesxandxdenturesx andxhasxenjoyedxconsiderablexpainxreliefx fr
omx arthritisx throughx massagex therapy.x Shex isx concernedx aboutx whetherxorxnotx Me
dicarex willx coverx thesex itemsxandxservices.x Whatx shouldx youx tellx her?
~~~x Medicarex doesx notx coverx massagex therapy,x or,x inx general,x glassesx orx dentures.
Ms.x Gibsonxrecentlyxlostx herxemployerxgroupxhealthxandxdrugxcoveragexandxnowxshe
wantsxtox enrollx inx ax PPOx thatx doesx notx includex drugx coverage.xWhatx shouldx youx tell
herx aboutx obtainingx drugx coverage?
~~~x Shexcanx enrollx inx thex PPO,x butx shexwillxnotx bex ablex tox purchasex ax stand-
alonex Medicarex Partx Dx prescriptionx drugx plan.
Mrs.xRadfordxasksxwhetherxtherexarexanyxspecialxeligibilityxrequirementsxforxMedicare
Advantage.xWhatx shouldx youx tellx her?
