Ahip Medicare Training Module 1 Final Review Questions And Correct Answers

AHIP MEDICARE TRAINING MODULE 1
FINAL REVIEW QUESTIONS AND
CORRECT ANSWERS
Whatuximpact,uxifuxany,uxhaveuxrecentuxregulatoryuxchangesuxhaduxuponuxMedigapuxplan
s?
A.uxTheuxPartuxAuxdeductibleuxisuxnouxlongeruxcovereduxunderuxMedigapuxplansuxforuxallux
enrolleesuxstartinguxJanuaryux1,ux2020.
B.uxTheuxPartuxAuxdeductibleuxisuxnouxlongeruxcovereduxforuxindividualsuxnewlyuxeligibleux
foruxMedicareuxstartinguxJanuaryux1,ux2020.
C.uxTheuxPartuxBuxdeductibleuxisuxnouxlongeruxcovereduxforuxindividualsuxnewlyuxeligibleux
foruxMedicareuxstartinguxJanuaryux1,ux2020.
D.uxTheuxPartuxBuxdeductibleuxisuxnowuxcovereduxforuxsomeuxnewlyuxeligibleuxindividualsu
xdependinguxonuxtheiruxfinancialuxstatus.ux-uxANSWERS-

C.uxTheuxPartuxBuxdeductibleuxisuxnouxlongeruxcovereduxforuxindividualsuxnewlyuxeligibleux
foruxMedicareuxstartinguxJanuaryux1,ux2020.

Explanation:uxStartinguxJanuaryux1,ux2020,uxMedigapuxplansuxsolduxtouxindividualsuxwho
uxareuxnewlyuxeligibleuxtouxMedicareuxareuxnouxlongeruxalloweduxtouxcoveruxtheuxPartuxBux

deductible.uxIfuxanuxindividualuxalreadyuxhaduxoneuxofuxtheuxplansuxbeforeuxJanuaryux1,ux
2020,uxtheyuxcanuxkeepuxtheiruxplan.uxIfuxanuxindividualuxwasuxeligibleuxforuxMedicareuxbe
foreuxJanuaryux1,ux2020,uxbutuxareuxnotuxyetuxenrolled,uxheuxoruxsheuxmayuxbeuxableuxtoux
purchaseuxoneuxofuxtheseuxplans.

Mrs.uxGeisler'suxneighboruxtolduxheruxsheuxshoulduxlookuxatuxheruxPartuxDuxoptionsuxdurin
guxtheuxannualuxMedicareuxenrollmentuxperioduxbecauseuxfeaturesuxofuxPartuxDuxmightux
haveuxchanged.uxMrs.uxGeisleruxcan'tuxrememberuxwhatuxPartuxDuxisuxsouxsheuxcalleduxy
ouuxtouxaskuxwhatuxheruxneighboruxwasuxtalkinguxabout.uxWhatuxcoulduxyouuxtelluxher?
A.uxPartuxDuxcoversuxhospitaluxanduxhomeuxhealthuxservicesuxanduxtheuxcost-
sharinguxhasuxchangeduxthisuxyear.ux
B.uxPartuxDuxcoversuxphysicianuxanduxnon-
physicianuxpractitioneruxservicesuxanduxtheuxdeductibleuxhasuxnotuxchangeduxthisuxyear,u
xbutuxtheuxphysicianuxchargesuxmayuxgouxup.

C.uxPartuxDuxcoversuxprescriptionuxdrugsuxanduxsheuxshoulduxlookuxatuxheruxpremiums,uxf
ormulary,uxanduxcost-sharinguxamonguxotheruxfactorsuxtouxseeuxifuxtheyuxhaveuxchanged.
D.uxPartuxDuxcoversuxlong-
termuxcareuxservicesuxanduxsheuxshouldn'tuxworryuxbecauseuxthereuxhasuxbeenuxnouxcha
ngeuxinuxcoverage.ux-uxANSWERS-
C.uxPartuxDuxcoversuxprescriptionuxdrugsuxanduxsheuxshoulduxlookuxatuxheruxpremiums,uxf
ormulary,uxanduxcost-sharinguxamonguxotheruxfactorsuxtouxseeuxifuxtheyuxhaveuxchanged.

Explanation:uxPartuxDuxprovidesuxprescriptionuxdruguxcoverage.uxPremiums,uxplanuxform
ularies,uxanduxcost-
sharing,uxamonguxotheruxfactors,uxmayuxchangeuxfromuxoneuxplanuxyearuxtouxanother.

Mrs.uxShieldsuxisuxcovereduxbyuxOriginaluxMedicare.uxSheuxsustaineduxauxhipuxfractureux
anduxisuxbeinguxsuccessfullyuxtreateduxforuxthatuxcondition.uxHowever,uxsheuxanduxheruxp
hysiciansuxfeeluxthatuxafteruxheruxlengthyuxhospitaluxstayuxsheuxwilluxneeduxauxmonthuxorux

, twouxofuxnursinguxanduxrehabilitativeuxcare.uxWhatuxshoulduxyouuxtelluxthemuxaboutuxOrigi
naluxMedicare'suxcoverageuxofuxcareuxinuxauxskilleduxnursinguxfacility?
A.uxMedicareuxwilluxcoveruxanuxunlimiteduxnumberuxofuxdaysuxinuxauxskilled-
nursinguxfacility,uxasuxlonguxasuxauxphysicianuxcertifiesuxthatuxsuchuxcareuxisuxneeded.
B.uxMrs.uxShieldsuxwilluxhaveuxtouxapplyuxforuxMedicaiduxtouxhaveuxheruxskilleduxnursingux
servicesuxcovereduxbecauseuxMedicareuxdoesuxnotuxprovideuxsuchuxauxbenefit.
C.uxOnceuxsheuxhasuxexpendeduxheruxliquiduxassets,uxMedicareuxwilluxcoverux80%uxofuxM
rs.uxShield'suxlong-termuxcareuxcosts.
D.uxMedicareuxwilluxcoveruxMrs.uxShield'suxskilleduxnursinguxservicesuxprovideduxduringux
theuxfirstux20uxdaysuxofuxheruxstay,uxafteruxwhichuxsheuxwoulduxhaveuxauxcopayuxuntiluxshe
uxhasuxbeenuxinuxtheuxfux-uxANSWERS-

D.uxMedicareuxwilluxcoveruxMrs.uxShield'suxskilleduxnursinguxservicesuxprovideduxduringux
theuxfirstux20uxdaysuxofuxheruxstay,uxafteruxwhichuxsheuxwoulduxhaveuxauxcopayuxuntiluxshe
uxhasuxbeenuxinuxtheuxfacilityuxforux100uxdays.



Explanation:uxMrs.uxShieldsuxhasuxexperienceduxauxlonguxhospitaluxstay,uxoveruxtheux3-
dayuxtimeuxperioduxtouxqualifyuxforuxskilleduxnursinguxanduxrehabilitativeuxcareuxbenefitsux
underuxMedicare.

Mr.uxRaineyuxisuxexperiencinguxparanoiduxdelusionsuxanduxhisuxphysicianuxfeelsuxthatuxh
euxshoulduxbeuxhospitalized.uxWhatuxshoulduxyouuxtelluxMr.uxRaineyux(oruxhisuxrepresenta
tive)uxaboutuxtheuxlengthuxofuxanuxinpatientuxpsychiatricuxhospitaluxstayuxthatuxMedicareux
willuxcover?
A.uxMedicareuxinpatientuxpsychiatricuxcoverageuxisuxlimiteduxtouxtheuxsameuxnumberuxofux
daysuxcovereduxforuxtypicaluxinpatientuxstays.
B.uxInpatientuxpsychiatricuxservicesuxareuxnotuxcovereduxunderuxOriginaluxMedicare.
C.uxMedicareuxwilluxcoveruxauxtotaluxofux190uxdaysuxofuxinpatientuxpsychiatricuxcareuxdurin
guxMr.uxRainey'suxentireuxlifetime.
D.uxMedicareuxwilluxcover,uxatuxitsuxallowableuxamount,uxasuxmanyuxstaysuxasuxareuxneed
eduxthroughoutuxMr.uxRainey'suxlife,uxasuxlonguxasuxnouxsingleuxstayuxexceedsux190uxday
s.ux-uxANSWERS-
C.uxMedicareuxwilluxcoveruxauxtotaluxofux190uxdaysuxofuxinpatientuxpsychiatricuxcareuxdurin
guxMr.uxRainey'suxentireuxlifetime.

Explanation:uxMedicareuxPartuxAuxprovidesuxcoverageuxforuxinpatientuxpsychiatricuxcareu
xforuxupuxtoux190uxlifetimeuxdays.



Mr.uxBuckuxhasuxseveraluxfamilyuxmembersuxwhouxdieduxfromuxdifferentuxcancers.uxHeux
wantsuxtouxknowuxifuxMedicareuxcoversuxcanceruxscreening.uxWhatuxshoulduxyouuxtelluxhi
m?
A.uxMedicareuxcoversuxtreatmentsuxforuxexistinguxdisease,uxinjury,uxanduxmalformeduxlim
bsuxoruxbodyuxparts.uxAsuxsuch,uxituxdoesuxnotuxcoveruxanyuxscreeninguxtestsuxanduxthese
uxmustuxbeuxpaiduxforuxbyuxtheuxbeneficiaryuxout-of-pocket.

B.uxMedicareuxcoversuxalluxscreeninguxtestsuxthatuxhaveuxbeenuxapproveduxbyuxtheuxFDA
uxonuxauxfrequencyuxdetermineduxbyuxtheuxtreatinguxphysician.

C.uxMedicareuxcoversuxtheuxperiodicuxperformanceuxofuxauxrangeuxofuxscreeninguxtestsuxt
hatuxareuxmeantuxtouxprovideuxearlyuxdetectionuxofuxdisease.uxMr.uxBuckuxwilluxneeduxtoux
checkuxspecificuxtestsuxbeforeuxobtaininguxthemuxtouxseeuxifuxtheyuxwilluxbeuxcovered.ux
D.uxMedicareuxcoversuxsomeuxscreeninguxtestsuxthatuxmustuxbeuxperformeduxwithinuxtheu
xfirstuxyearuxafteruxenrollment.uxBeyonduxthatuxpointuxexpensesuxforuxscreeninguxtestsuxar