AHIP MEDICARE TRAINING MODULE 1 FINAL REVIEW
tory changes had upon Medigap plans? A. The Part A deductible is no longer
What impact, if any, have recent regula- C. The Part B deductible is no longer
covered for individuals newly eligible for Medicare starting January 1, 2020.
covered under Medigap plans for all en- Explanation: Starting January 1, 2020,
rollees starting January 1, 2020. Medigap plans sold to individuals who B. The Part
A deductible is no longer are newly eligible to Medicare are no covered for
individuals newly eligible for longer allowed to cover the Part B de- Medicare
starting January 1, 2020. ductible. If an individual already had one C. The Part B
deductible is no longer of the plans before January 1, 2020, they covered for
individuals newly eligible for can keep their plan. If an individual was Medicare
starting January 1, 2020. eligible for Medicare before January 1, D. The Part B
deductible is now covered 2020, but are not yet enrolled, he or she for some newly
eligible individuals de- may be able to purchase one of these pending on their
financial status. plans.
Mrs. Geisler's neighbor told her she
should look at her Part D options during
the annual Medicare enrollment period
because features of Part D might have
changed. Mrs. Geisler can't remember
what Part D is so she called you to ask
, AHIP MEDICARE TRAINING MODULE 1 FINAL REVIEW
what her neighbor was talking about. C. Part D covers prescription drugs and
What could you tell her? she should look at her premiums, formu- A. Part D
covers hospital and home lary, and cost-sharing among other fac- health services
and the cost-sharing has tors to see if they have changed.
changed this year.
B. Part D covers physician and Explanation: Part D provides prescription
non-physician practitioner services and drug coverage. Premiums, plan
formula- the deductible has not changed this year, ries, and cost-sharing, among
other fac- but the physician charges may go up. tors, may change from one
plan year to C. Part D covers prescription drugs and another. she should look at
her premiums, for- mulary, and cost-sharing among other factors to see if they
have changed.
D. Part D covers long-term care services
and she shouldn't worry because there
has been no change in coverage.
Mrs. Shields is covered by Original
Medicare. She sustained a hip fracture
and is being successfully treated for that
condition. However, she and her physi-
cians feel that after her lengthy hospital
stay she will need a month or two of
nurs- ing and rehabilitative care. What
should
you tell them about Original Medicare's D. Medicare will cover Mrs. Shield's
coverage of care in a skilled nursing fa- skilled nursing services provided
, AHIP MEDICARE TRAINING MODULE 1 FINAL REVIEW
during cility? A. Medicare will cover an unlimited num- the first 20 days of her
stay, after which ber of days in a skilled-nursing facility, she would have a
copay until she has as long as a physician certifies that such been in the facility for
100 days. care is needed.
B. Mrs. Shields will have to apply for Med- icaid to have her skilled nursing
services Explanation: Mrs. Shields has experi- enced a long hospital stay, over
the 3-day time period to qualify for skilled nurs-
covered because Medicare does not pro- representative) about the length of an
vide such a benefit. inpatient psychi- atric hospital stay
C. Once she has expended her liquid that Medicare will cov- er?
assets, Medicare will cover 80% of A. Medicare inpatient psychiatric
Mrs. Shield's long-term care costs. cover- age is limited to the same
D. Medicare will cover Mrs. number of days covered for typical
Shield's skilled nursing services inpatient stays. B. Inpatient psychiatric
provided during the first 20 days of services are not covered under Original
her stay, after which she would Medicare. C. Medicare will cover a total
have a copay until she has been in of 190 days ing and rehabilitative care
the facility for 100 days. benefits under Medicare.
Mr. Rainey is experiencing paranoid
delusions and his physician feels that
he should be hospitalized. What
should you tell Mr. Rainey (or his
tory changes had upon Medigap plans? A. The Part A deductible is no longer
What impact, if any, have recent regula- C. The Part B deductible is no longer
covered for individuals newly eligible for Medicare starting January 1, 2020.
covered under Medigap plans for all en- Explanation: Starting January 1, 2020,
rollees starting January 1, 2020. Medigap plans sold to individuals who B. The Part
A deductible is no longer are newly eligible to Medicare are no covered for
individuals newly eligible for longer allowed to cover the Part B de- Medicare
starting January 1, 2020. ductible. If an individual already had one C. The Part B
deductible is no longer of the plans before January 1, 2020, they covered for
individuals newly eligible for can keep their plan. If an individual was Medicare
starting January 1, 2020. eligible for Medicare before January 1, D. The Part B
deductible is now covered 2020, but are not yet enrolled, he or she for some newly
eligible individuals de- may be able to purchase one of these pending on their
financial status. plans.
Mrs. Geisler's neighbor told her she
should look at her Part D options during
the annual Medicare enrollment period
because features of Part D might have
changed. Mrs. Geisler can't remember
what Part D is so she called you to ask
, AHIP MEDICARE TRAINING MODULE 1 FINAL REVIEW
what her neighbor was talking about. C. Part D covers prescription drugs and
What could you tell her? she should look at her premiums, formu- A. Part D
covers hospital and home lary, and cost-sharing among other fac- health services
and the cost-sharing has tors to see if they have changed.
changed this year.
B. Part D covers physician and Explanation: Part D provides prescription
non-physician practitioner services and drug coverage. Premiums, plan
formula- the deductible has not changed this year, ries, and cost-sharing, among
other fac- but the physician charges may go up. tors, may change from one
plan year to C. Part D covers prescription drugs and another. she should look at
her premiums, for- mulary, and cost-sharing among other factors to see if they
have changed.
D. Part D covers long-term care services
and she shouldn't worry because there
has been no change in coverage.
Mrs. Shields is covered by Original
Medicare. She sustained a hip fracture
and is being successfully treated for that
condition. However, she and her physi-
cians feel that after her lengthy hospital
stay she will need a month or two of
nurs- ing and rehabilitative care. What
should
you tell them about Original Medicare's D. Medicare will cover Mrs. Shield's
coverage of care in a skilled nursing fa- skilled nursing services provided
, AHIP MEDICARE TRAINING MODULE 1 FINAL REVIEW
during cility? A. Medicare will cover an unlimited num- the first 20 days of her
stay, after which ber of days in a skilled-nursing facility, she would have a
copay until she has as long as a physician certifies that such been in the facility for
100 days. care is needed.
B. Mrs. Shields will have to apply for Med- icaid to have her skilled nursing
services Explanation: Mrs. Shields has experi- enced a long hospital stay, over
the 3-day time period to qualify for skilled nurs-
covered because Medicare does not pro- representative) about the length of an
vide such a benefit. inpatient psychi- atric hospital stay
C. Once she has expended her liquid that Medicare will cov- er?
assets, Medicare will cover 80% of A. Medicare inpatient psychiatric
Mrs. Shield's long-term care costs. cover- age is limited to the same
D. Medicare will cover Mrs. number of days covered for typical
Shield's skilled nursing services inpatient stays. B. Inpatient psychiatric
provided during the first 20 days of services are not covered under Original
her stay, after which she would Medicare. C. Medicare will cover a total
have a copay until she has been in of 190 days ing and rehabilitative care
the facility for 100 days. benefits under Medicare.
Mr. Rainey is experiencing paranoid
delusions and his physician feels that
he should be hospitalized. What
should you tell Mr. Rainey (or his
