2022 NURSING 412 AHIP FINAL EXAM
TEST Questions and Answers 100%Correct/Verified
Mrs. Margolis contacts you in August because she will become eligible for Medicare for the first time in
November. She would like to meet and discuss plan choices with you. What advice should you give her?
Tell her to wait until October to discuss plan choices with you so that you can share plan benefits for the
currentyear as well as any changes for the following year that may impact her choice.
Mr. White has Medicare Parts A and B with a Part D plan. Last year, he received a notice that his plan
sponsor identified him as a "potential at-risk" beneficiary. Thismonth, he started receiving assistance from
Medicaid. He wants to find a different Part D plan that's more suitable to his current prescription drug
needs. He believeshe's entitled to a SEP since he is now a dual eligible. Is he able to change to a different
Part D plan during a SEP for dual eligible individuals? No. Once he is identified by the plan sponsor as a
"potential at-risk" beneficiary, he cannot use thedual eligible SEP to change plans while this designation is
in place.
2022 NURSING 412 AHIP FINAL EXAM TEST
Questions and Answers 100%Correct/Verified
,2022 NURSING 412 AHIP FINAL EXAM TEST
Questions and Answers 100%Correct/Verified
Mrs. Pena is 66 years old, has coverage under an employer plan, and will retire next year. She heard she
must enroll in Part B at the beginning of the year to ensureno gap in coverage. What can you tell her? ✓She
may enroll at any time while she is covered under her employer plan, but she will have a special eight-
month enrollment period after the last month on her employer plan that differs from the standard general
enrollment period, during which she may enroll in Medicare Part B.
Mrs. Chen will be 65 soon, has been a citizen for twelve years, has been employedfull time, and paid taxes
during that entire period. She is concerned that she will not qualify for coverage under part A because she
was not born in the United States. What should you tell her? ✓Most individuals who are citizens and age 65
or over are covered under Part A by virtue of having paid Medicare taxes whileworking, though some may
be covered as a result of paying monthly premiums.
Mrs. Gonzalez is enrolled in Original Medicare and has a Medigap policy as well,but it provides no drug
coverage. She would like to keep the coverage she has butreplace her existing Medigap plan
2022 NURSING 412 AHIP FINAL EXAM TEST
Questions and Answers 100%Correct/Verified
,2022 NURSING 412 AHIP FINAL EXAM TEST
Questions and Answers 100%Correct/Verified
with one that provides drug coverage. What should you tell her?
✓✓Mrs. Gonzalez cannot purchase a Medigap plan that covers drugs, but she could keep her Medigap
policy and enroll in a Part D prescription drug plan.
Mrs. West wears glasses and dentures and has enjoyed considerable pain relieffrom arthritis through
massage therapy. She is concerned about whether or notMedicare will cover these items and services.
What should you tell her?
✓✓Medicare does not cover massage therapy, or, in general, glasses or dentures.
Mr. Patel is in good health and is preparing a budget in anticipation of his retirement when he turns 66. He
wants to understand the health care costs he mightbe exposed to under Medicare if he were to require
hospitalization as a result of anillness. In general terms, what could you tell him about his costs for
inpatient hospital services
under Original Medicare? ✓✓Under Original Medicare, there is a single deductible amount due for the first
60 days of any inpatient hospital stay, after which it converts into a per-day coinsurance amount through
day 90. After day 90,he would pay a daily amount
2022 NURSING 412 AHIP FINAL EXAM TEST
Questions and Answers 100%Correct/Verified
, 2022 NURSING 412 AHIP FINAL EXAM TEST
Questions and Answers 100%Correct/Verified
up to 60 days over his lifetime, after which he wouldbe responsible for all costs.
Ms. Henderson believes that she will qualify for Medicare Coverage when she turns 65, without paying any
premiums, because she has been working for 40 yearsand paying Medicare taxes. What should you tell her?
✓✓To obtain Part B coverage, she must pay a standard monthly premium, though it is higher for individuals
with higher incomes.
Mr. Davis is 52 years old and has recently been diagnosed with end- stage renal disease (ESRD) and will
soon begin dialysis. He is wondering if he can obtain coverage under Medicare. What should you tell him?
✓He may sign-up for Medicare at any time however coverage usually begins on the fourth month
afterdialysis treatments start.
Juan Perez, who is turning age 65 next month, intends to work for several more years at Smallcap,
Incorporated. Smallcap has a workforce of15 employees and offers employer-sponsored healthcare
coverage. Juan is a naturalized citizen and has
2022 NURSING 412 AHIP FINAL EXAM TEST
Questions and Answers 100%Correct/Verified
TEST Questions and Answers 100%Correct/Verified
Mrs. Margolis contacts you in August because she will become eligible for Medicare for the first time in
November. She would like to meet and discuss plan choices with you. What advice should you give her?
Tell her to wait until October to discuss plan choices with you so that you can share plan benefits for the
currentyear as well as any changes for the following year that may impact her choice.
Mr. White has Medicare Parts A and B with a Part D plan. Last year, he received a notice that his plan
sponsor identified him as a "potential at-risk" beneficiary. Thismonth, he started receiving assistance from
Medicaid. He wants to find a different Part D plan that's more suitable to his current prescription drug
needs. He believeshe's entitled to a SEP since he is now a dual eligible. Is he able to change to a different
Part D plan during a SEP for dual eligible individuals? No. Once he is identified by the plan sponsor as a
"potential at-risk" beneficiary, he cannot use thedual eligible SEP to change plans while this designation is
in place.
2022 NURSING 412 AHIP FINAL EXAM TEST
Questions and Answers 100%Correct/Verified
,2022 NURSING 412 AHIP FINAL EXAM TEST
Questions and Answers 100%Correct/Verified
Mrs. Pena is 66 years old, has coverage under an employer plan, and will retire next year. She heard she
must enroll in Part B at the beginning of the year to ensureno gap in coverage. What can you tell her? ✓She
may enroll at any time while she is covered under her employer plan, but she will have a special eight-
month enrollment period after the last month on her employer plan that differs from the standard general
enrollment period, during which she may enroll in Medicare Part B.
Mrs. Chen will be 65 soon, has been a citizen for twelve years, has been employedfull time, and paid taxes
during that entire period. She is concerned that she will not qualify for coverage under part A because she
was not born in the United States. What should you tell her? ✓Most individuals who are citizens and age 65
or over are covered under Part A by virtue of having paid Medicare taxes whileworking, though some may
be covered as a result of paying monthly premiums.
Mrs. Gonzalez is enrolled in Original Medicare and has a Medigap policy as well,but it provides no drug
coverage. She would like to keep the coverage she has butreplace her existing Medigap plan
2022 NURSING 412 AHIP FINAL EXAM TEST
Questions and Answers 100%Correct/Verified
,2022 NURSING 412 AHIP FINAL EXAM TEST
Questions and Answers 100%Correct/Verified
with one that provides drug coverage. What should you tell her?
✓✓Mrs. Gonzalez cannot purchase a Medigap plan that covers drugs, but she could keep her Medigap
policy and enroll in a Part D prescription drug plan.
Mrs. West wears glasses and dentures and has enjoyed considerable pain relieffrom arthritis through
massage therapy. She is concerned about whether or notMedicare will cover these items and services.
What should you tell her?
✓✓Medicare does not cover massage therapy, or, in general, glasses or dentures.
Mr. Patel is in good health and is preparing a budget in anticipation of his retirement when he turns 66. He
wants to understand the health care costs he mightbe exposed to under Medicare if he were to require
hospitalization as a result of anillness. In general terms, what could you tell him about his costs for
inpatient hospital services
under Original Medicare? ✓✓Under Original Medicare, there is a single deductible amount due for the first
60 days of any inpatient hospital stay, after which it converts into a per-day coinsurance amount through
day 90. After day 90,he would pay a daily amount
2022 NURSING 412 AHIP FINAL EXAM TEST
Questions and Answers 100%Correct/Verified
, 2022 NURSING 412 AHIP FINAL EXAM TEST
Questions and Answers 100%Correct/Verified
up to 60 days over his lifetime, after which he wouldbe responsible for all costs.
Ms. Henderson believes that she will qualify for Medicare Coverage when she turns 65, without paying any
premiums, because she has been working for 40 yearsand paying Medicare taxes. What should you tell her?
✓✓To obtain Part B coverage, she must pay a standard monthly premium, though it is higher for individuals
with higher incomes.
Mr. Davis is 52 years old and has recently been diagnosed with end- stage renal disease (ESRD) and will
soon begin dialysis. He is wondering if he can obtain coverage under Medicare. What should you tell him?
✓He may sign-up for Medicare at any time however coverage usually begins on the fourth month
afterdialysis treatments start.
Juan Perez, who is turning age 65 next month, intends to work for several more years at Smallcap,
Incorporated. Smallcap has a workforce of15 employees and offers employer-sponsored healthcare
coverage. Juan is a naturalized citizen and has
2022 NURSING 412 AHIP FINAL EXAM TEST
Questions and Answers 100%Correct/Verified
